| Concentra Urgent Care | |
|
5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001-4648 | |
| (972) 364-8083 | |
| (214) 775-4502 |
| Full Name | Concentra Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 5080 Spectrum Drive, Addison, Texas |
| Authorized Official Name and Position | Robert Hassett (PRESIDENT) |
| Authorized Official Contact | 9723648000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concentra Urgent Care 5080 Spectrum Drive Sutie 1200 West Addsion TX 75001-4648 Ph: (972) 364-8083 | Concentra Urgent Care 5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001-4648 Ph: (972) 364-8083 |
| NPI Number | 1780868547 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 02/09/2016 |
| Medicare PECOS PAC ID | 9739260019 |
|---|---|
| Medicare Enrollment ID | O20100107000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780868547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | Tushar C Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598871659 PECOS PAC ID: 5991699878 Enrollment ID: I20040211000728 |
| Provider Name | Kyong Un Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023225059 PECOS PAC ID: 6002975224 Enrollment ID: I20081103000592 |
| Provider Name | Peter J Paganussi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699712778 PECOS PAC ID: 4183775257 Enrollment ID: I20090701000585 |
| Provider Name | Kelly M Washburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376738930 PECOS PAC ID: 0446347009 Enrollment ID: I20091109000297 |
| Provider Name | Joseph Dalton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487638623 PECOS PAC ID: 8527148345 Enrollment ID: I20100622000839 |
| Provider Name | Sung Ryan Shin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912220112 PECOS PAC ID: 8325164320 Enrollment ID: I20110104000652 |
| Provider Name | Nermine a Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700048840 PECOS PAC ID: 8628123569 Enrollment ID: I20111027000529 |
| Provider Name | Stephen Biggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780658591 PECOS PAC ID: 3779750385 Enrollment ID: I20120123000770 |
| Provider Name | Leila K Mufdi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285846568 PECOS PAC ID: 8325114085 Enrollment ID: I20120804000142 |
| Provider Name | Domingo Solomon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508118019 PECOS PAC ID: 7416101613 Enrollment ID: I20130215000095 |
| Provider Name | Frieda S Priest |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851484497 PECOS PAC ID: 2062651490 Enrollment ID: I20130617000122 |
| Provider Name | Nicole Donaldson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396062931 PECOS PAC ID: 8022251966 Enrollment ID: I20130826000407 |
| Provider Name | Jon Randall Frederick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003997800 PECOS PAC ID: 5193944452 Enrollment ID: I20140918000700 |
| Provider Name | Tatsiana Khalmanskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952725822 PECOS PAC ID: 0749501336 Enrollment ID: I20150608002371 |
| Provider Name | Nicole Wegman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477078541 PECOS PAC ID: 6800161928 Enrollment ID: I20170928003976 |
| Provider Name | Isata Kallon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700137866 PECOS PAC ID: 8729239843 Enrollment ID: I20180119000051 |
| Provider Name | Heather C Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972045797 PECOS PAC ID: 1254690316 Enrollment ID: I20180131000473 |
| Provider Name | Kara Dunbar Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154655058 PECOS PAC ID: 9638200488 Enrollment ID: I20181018003296 |
| Provider Name | Rochelle N Gerber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871087510 PECOS PAC ID: 1951649789 Enrollment ID: I20190220002152 |
| Provider Name | Cade C Cinnamond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487899316 PECOS PAC ID: 5092057679 Enrollment ID: I20190514002420 |
| Provider Name | Lilia Teresa Nunez Negron |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922647270 PECOS PAC ID: 1557797404 Enrollment ID: I20200212001954 |
| Provider Name | Aimee Dinwiddie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245613140 PECOS PAC ID: 6507284379 Enrollment ID: I20200910000750 |
| Provider Name | Michelle Covili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083046502 PECOS PAC ID: 7810113412 Enrollment ID: I20210302002117 |
| Provider Name | Pamela Sophia Moss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215498647 PECOS PAC ID: 1850709445 Enrollment ID: I20210420002150 |
| Provider Name | Dianna Wine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609155977 PECOS PAC ID: 1850516196 Enrollment ID: I20220328001259 |
| Provider Name | Erin Schofield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841893955 PECOS PAC ID: 9638551179 Enrollment ID: I20220801001748 |
| Provider Name | Lorenzo Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740537505 PECOS PAC ID: 8628343506 Enrollment ID: I20221031001463 |
| Provider Name | Christy Mcgorman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366965774 PECOS PAC ID: 3678839966 Enrollment ID: I20221103000796 |
| Provider Name | Felicia Steele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669851523 PECOS PAC ID: 0244547396 Enrollment ID: I20221107001286 |
| Provider Name | Jessica Ann Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083197107 PECOS PAC ID: 6103170824 Enrollment ID: I20230628000550 |
| Provider Name | Debra Ricciardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740307016 PECOS PAC ID: 5092858373 Enrollment ID: I20231019000743 |
| Provider Name | Mary C Ehrsam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457638736 PECOS PAC ID: 4082057070 Enrollment ID: I20240206004974 |
| Provider Name | King Pascual |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033853270 PECOS PAC ID: 7315480365 Enrollment ID: I20240715001012 |
| Provider Name | Julie Behnke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356504641 PECOS PAC ID: 7113382151 Enrollment ID: I20241003001355 |
| Provider Name | Seeba N George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558870428 PECOS PAC ID: 2769914076 Enrollment ID: I20241028000831 |
| Provider Name | Tessie Aikara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639377682 PECOS PAC ID: 3274693585 Enrollment ID: I20251121003601 |
| Provider Name | Amanda L Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609500016 PECOS PAC ID: 0547642720 Enrollment ID: I20251125003724 |
| Provider Name | Scott Wallace |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1275809899 PECOS PAC ID: 9335379957 Enrollment ID: I20260124000397 |
| Provider Name | Farihah Azam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508499203 PECOS PAC ID: 7810370418 Enrollment ID: I20260420001464 |
American Current Care PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001 Phone: 972-364-8083 Fax: 214-775-4502 |
Concentra Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5080 Spectrum Drive, Suite 1200 West, Addison, TX 75001 Phone: 972-364-8000 Fax: 214-775-4502 |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001 Phone: 972-364-8000 |
Virtual Health Provider Group PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5057 Keller Springs Rd Ste 300, Addison, TX 75001 Phone: 877-345-3992 |
Concentra Onsite - Appriss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr Ste 1200w, Addison, TX 75001 Phone: 972-364-3000 |
Occupational Health Centers of the Southwest P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200w, Addison, TX 75001 Phone: 972-720-7768 Fax: 214-775-4502 |