NPIMap

Organization Active NPI

Ecsc II PA

  • Specialist
  • Dallas, TX
National Provider Identifier
1184733362
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ECSC II PA
Practice address
5421 La Sierra Dr
Dallas, TX 75231-4107
Phone
(214) 361-1443
Fax
(214) 691-3299
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Hallie Bledsue
Title
Coo
Phone
(214) 361-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5421 La Sierra Dr
Dallas, TX 75231-4107

Mailing address

5421 La Sierra Dr
Dallas, TX 75231-4107
Phone (214) 361-1443

Other identifiers 3

IdentifierTypeStateIssuer
121664005MedicaidTX
121664002MedicaidTX
121664001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000547 TX Part B Supplier - Clinic/Group Practice 1355337379 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
Practice locations: Dallas, TX; Greenville, TX; McKinney, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ecsc II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2800 S Hulen St
Ste 100
Ft Worth, TX 76109
Phone (817) 921-2020

4501 Joe Ramsey Blvd E
Ste 210
Greenville, TX 75401
Phone (903) 454-0123

Interoperability endpoints

  • Direct secure messaging: sbatliwala@visionquest.intellechartdirect.net
  • Direct secure messaging: rconsor@visionquest.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1184733362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314107",
            "telephone_number": "214-361-1443",
            "fax_number": "214-691-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314107",
            "telephone_number": "214-361-1443",
            "fax_number": "214-691-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECSC II PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "BLEDSUE",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-361-1443"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121664005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121664002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121664001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.