| 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 Suite 1200 West Addison 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 | 1962680454 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 02/04/2016 |
| Medicare PECOS PAC ID | 9739260019 |
|---|---|
| Medicare Enrollment ID | O20090902000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962680454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Charlton Scott Mcnair |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255390191 PECOS PAC ID: 0648220301 Enrollment ID: I20050131000290 |
| Provider Name | Marion L Gibbons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003823931 PECOS PAC ID: 2961455696 Enrollment ID: I20050223000042 |
| Provider Name | Scott Lewis Korn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346286697 PECOS PAC ID: 7315932944 Enrollment ID: I20050420000971 |
| Provider Name | Joshua C Hutchins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871710152 PECOS PAC ID: 1254424633 Enrollment ID: I20070830000098 |
| Provider Name | Maribel Rodriguez-scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922090539 PECOS PAC ID: 4789650607 Enrollment ID: I20080325000709 |
| Provider Name | Raymond Christopher Guy Horton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962410126 PECOS PAC ID: 5991772865 Enrollment ID: I20100514000685 |
| Provider Name | Barry Weissglass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497701817 PECOS PAC ID: 7214954692 Enrollment ID: I20120117000529 |
| Provider Name | Norma E Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093064826 PECOS PAC ID: 6305099383 Enrollment ID: I20121227000451 |
| Provider Name | Smitha Ballyamanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932336542 PECOS PAC ID: 8123262128 Enrollment ID: I20140507000439 |
| Provider Name | Vicki Starlene Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366780413 PECOS PAC ID: 2860630068 Enrollment ID: I20140916000959 |
| Provider Name | Robert M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548263734 PECOS PAC ID: 9335034479 Enrollment ID: I20150113001289 |
| Provider Name | Perry J Depietro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972621910 PECOS PAC ID: 0941336739 Enrollment ID: I20171201002974 |
| Provider Name | Elizabeth Ellen Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932169471 PECOS PAC ID: 0446500383 Enrollment ID: I20180913002349 |
| Provider Name | Amy Cabaniss Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114402245 PECOS PAC ID: 4789929183 Enrollment ID: I20181212002683 |
| Provider Name | Melissa Ann Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518471192 PECOS PAC ID: 4880921402 Enrollment ID: I20190806000178 |
| Provider Name | Ivery Bonita Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992362545 PECOS PAC ID: 0941539621 Enrollment ID: I20190905000773 |
| Provider Name | Danielle Soowal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285154252 PECOS PAC ID: 3375819543 Enrollment ID: I20190910001982 |
| Provider Name | Alyssa Dias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710466800 PECOS PAC ID: 6406191303 Enrollment ID: I20200325002615 |
| Provider Name | Hannah Caroline Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437627858 PECOS PAC ID: 8729325444 Enrollment ID: I20200409003712 |
| Provider Name | Monica E Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023655669 PECOS PAC ID: 1456782390 Enrollment ID: I20200511000694 |
| Provider Name | Crystal Clark Keys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235425786 PECOS PAC ID: 4486876182 Enrollment ID: I20200618002128 |
| Provider Name | Tyease R Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700429453 PECOS PAC ID: 8325465610 Enrollment ID: I20201109002057 |
| Provider Name | Beau Hezwell Kalan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265964928 PECOS PAC ID: 0042616500 Enrollment ID: I20210908002658 |
| Provider Name | Tylicia A Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912626607 PECOS PAC ID: 6800255019 Enrollment ID: I20230706002704 |
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 Health Serivces, Inc. 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 | |
Neuropathy Healers, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16300 Addison Rd Ste 300, Addison, TX 75001 Phone: 972-920-6898 |