Adelitas Medical NWH

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08110 Issued in TX

Legal business name

ADELITAS MEDICAL NWH

Practice address

610 E Jefferson Blvd Ste 110
Dallas, TX 75203-2750

Phone

(214) 222-9115

NPI assigned

Feb 4, 2013

Organization subpart

Yes

Parent organization

SSM SERVICESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Moses Varghese

Title

Senior Partner

Phone

(682) 478-9117

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hareshkumar D Boghara, M.D.

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1962660589
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1093054504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E JEFFERSON BLVD STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E JEFFERSON BLVD STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032750",
            "telephone_number": "214-222-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELITAS MEDICAL NWH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM SERVICES",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "682-478-9117"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temitayo Mopeola Adegoke, MD
• Omolara Lizzy Adejinmi, APRN-CNP
• Dolapo Taiwo Adejumobi, MD
• Blessing Adekanye
• Yewande Adelana
• Adelitas Medical-NWH
• Oluwatoyin Adelusi, MD
• Aden'S Home Health Care
• Adejumoke Adeniyi, PHARMD
• Ammar Adenwalla, MD

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.