Goran B. G. Klintmalm, M.D.

Primary specialty

Transplant Surgery PhysicianTaxonomy code 204F00000X

License

G7835 Issued in TX

Practice address

3410 Worth St
Suite 950
Dallas, TX 75246-2003

Phone

(214) 820-2050

Fax

(214) 818-6491

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Transplant Associates of Baylor Health Care System, PA

  • Specialist
  • Dallas, TX
  • NPI 1700033016
  NPD (past) Authorized official
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1235135906
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  NPD
• Healthtexas Provider Network - Waxahachie Surgical Specialist, LLP

  • Surgery Physician
  • Waxahachie, TX
  • NPI 1871598458
  NPD (past)
• Wellbeing Institute Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1568536118
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1245260280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST",
            "address_2": "SUITE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462003",
            "telephone_number": "214-820-2050",
            "fax_number": "214-818-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST",
            "address_2": "SUITE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462003",
            "telephone_number": "214-820-2050",
            "fax_number": "214-818-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINTMALM",
        "first_name": "GORAN",
        "middle_name": "B. G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "G7835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041146403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H3710",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041146404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Noel Klindt, PSYD
• Sandra Olson Klindworth, MS, CCC
• Dawn Marie Kline, WHNP-BC
• Megan Klinginsmith
• Taylor Klinke
• David Joseph Klocko, PA-C
• Michaela King Klose
• Steven Kloster, DC
• Whitney Abigail Klotz, MS, CCC-SLP
• Janet Kloza, O.T.

• Transplant Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Transplant Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.