Edward Panousieris, Dopa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2665 Issued in TX

Legal business name

EDWARD PANOUSIERIS, DOPA

Practice address

2696 N Galloway Ave
Suite 102
Mesquite, TX 75150-6362

Phone

(972) 613-5500

Fax

(972) 613-5015

NPI assigned

Aug 5, 2013

Last updated

Aug 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Panousieris, D.O.NPI 1578675864

Title

Physician/Owner

Phone

(972) 613-5500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Texas Regional Medical Center, LLC

  dba Baylor Scott & White Medical Center - Sunnyvale

  • General Acute Care Hospital
  • Sunnyvale, TX
  • NPI 1255579389

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Panousieris, DO

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1578675864
  Medicare reassignment NPD Authorized official
• Ali Jafarian, D.O.

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1033127873
  NPD (past)

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1144652900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 N GALLOWAY AVE",
            "address_2": "SUITE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506362",
            "telephone_number": "972-613-5500",
            "fax_number": "972-613-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 N GALLOWAY AVE",
            "address_2": "SUITE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506362",
            "telephone_number": "972-613-5500",
            "fax_number": "972-613-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD PANOUSIERIS, DOPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "PANOUSIERIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-613-5500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00A67K",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "097269702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eclipse Home Health Services, Inc.
• William Layne Eddy, CRNA
• Edgewood SNF Operations LLC (Edgewood Rehabilitation and Care Center)
• Carol Edinbyrd
• Cheryl Edinbyrd, LPC, LCDC-I, PHD
• Angela Nichole Edwards, DO
• Lewis Todd Edwards
• Michael J Edwards Sr., MINISTER
• Teresa Edwards
• Uduak Edwards

• Family Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.