| 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 | (NU) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (NU) | 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 | Scott Korn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346286697 PECOS PAC ID: 7315932944 Enrollment ID: I20050420000971 |
| Provider Name | Randi Popp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093793424 PECOS PAC ID: 9537107560 Enrollment ID: I20050421000029 |
| 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 | Robert Karl Hetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831175165 PECOS PAC ID: 6608056668 Enrollment ID: I20110208000483 |
| Provider Name | Barry Weissglass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497701817 PECOS PAC ID: 7214954692 Enrollment ID: I20120117000529 |
| 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 | Maxine Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568877439 PECOS PAC ID: 6204152390 Enrollment ID: I20150309000915 |
| Provider Name | Edwin S Chelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508988353 PECOS PAC ID: 9830221605 Enrollment ID: I20151014003100 |
| Provider Name | Mary a Ryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326289117 PECOS PAC ID: 8921165275 Enrollment ID: I20151021000126 |
| Provider Name | Nicole M Scaccia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215961131 PECOS PAC ID: 7911929773 Enrollment ID: I20170725001753 |
| 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 | Danielle Soowal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285154252 PECOS PAC ID: 3375819543 Enrollment ID: I20190910001982 |
| Provider Name | Ashley C Sundberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003266941 PECOS PAC ID: 7618257999 Enrollment ID: I20200306001701 |
| Provider Name | Loraine Michelle Heller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164798633 PECOS PAC ID: 2860709797 Enrollment ID: I20200923002423 |
| Provider Name | Emily Milbank Doelger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942466586 PECOS PAC ID: 0042465650 Enrollment ID: I20201016001356 |
| Provider Name | Lynette L Mcbride |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598730970 PECOS PAC ID: 3476647769 Enrollment ID: I20210812003739 |
| Provider Name | Nicole M Call |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467113050 PECOS PAC ID: 1658767934 Enrollment ID: I20220414000059 |
| Provider Name | Mary Desormes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063641009 PECOS PAC ID: 8628225182 Enrollment ID: I20230119003058 |
| Provider Name | Mary Bosque-hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649985854 PECOS PAC ID: 3072970870 Enrollment ID: I20230609002602 |
| Provider Name | Tetevi Senouwogbe Torsoo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083126940 PECOS PAC ID: 8123487964 Enrollment ID: I20230711002872 |
| Provider Name | Britton Tucker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447626676 PECOS PAC ID: 4183926736 Enrollment ID: I20240112003763 |
| Provider Name | Cassandra Passamonte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366076432 PECOS PAC ID: 7214338003 Enrollment ID: I20240117000315 |
| Provider Name | Anna Allen Spencer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1790301810 PECOS PAC ID: 2062850431 Enrollment ID: I20240404000000 |
| Provider Name | Inderjote Kathuria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689786311 PECOS PAC ID: 7416090261 Enrollment ID: I20241022003383 |
| Provider Name | Evan Roszkowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437601382 PECOS PAC ID: 4880978337 Enrollment ID: I20241220000845 |
| Provider Name | Carl Bergren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417936394 PECOS PAC ID: 4284611674 Enrollment ID: I20250826001090 |
| Provider Name | Sarah Bruce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912915927 PECOS PAC ID: 6608878475 Enrollment ID: I20250829003812 |
| Provider Name | Cornell Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700990421 PECOS PAC ID: 7719977503 Enrollment ID: I20251010001320 |
| Provider Name | Akaninyene Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952358061 PECOS PAC ID: 9537120381 Enrollment ID: I20260129000090 |
| Provider Name | Christopher Yu Chow |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831831130 PECOS PAC ID: 3476033416 Enrollment ID: I20260218000155 |
| Provider Name | Ashley Lauren Cary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174166474 PECOS PAC ID: 0244661585 Enrollment ID: I20260526001041 |
| Provider Name | Elizabeth Nichole Buchanan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942970140 PECOS PAC ID: 1557769601 Enrollment ID: I20260618001050 |
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 |