NPIMap

Organization Active NPI

Marc Daniel Anesthesia, PLLC

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1497263750
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q1605 Issued in TX
Legal business name
MARC DANIEL ANESTHESIA, PLLC
Practice address
17980 Dallas Parkway
Dallas, TX 75287
Phone
(972) 913-7715
NPI assigned
Jan 19, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Marc Daniel Galland, DONPI 1134440936
Title
Owner
Phone
(580) 220-9887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q1605 TX Primary

Addresses

Primary practice location

17980 Dallas Parkway
Dallas, TX 75287

Mailing address

5207 Milam St
Dallas, TX 75206

Other practice location 1

5550 Warren Parkway Suite 110
Frisco, TX 75035
Phone (469) 252-4777

Other identifiers 1

IdentifierTypeStateIssuer
1134440936OtherPERSONAL NPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180307001922 TX Part B Supplier - Clinic/Group Practice 1052672086 Receives reassigned benefits from 9 practitioners
Practice locations: Trophy Club, TX; Southlake, TX; Richardson, TX; Plano, TX; Dallas, TX; McKinney, TX; Lancaster, TX; Frisco, TX…

National Provider Directory

National Provider Directory

Locations

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1497263750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 MILAM ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17980 DALLAS PARKWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75287",
            "telephone_number": "972-913-7715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Warren Parkway Suite 110",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75035",
            "country_code": "US",
            "telephone_number": "469-252-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARC DANIEL ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GALLAND",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-220-9887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q1605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1134440936",
            "state": null
        }
    ],
    "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 Mar 17, 2018; 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.