Active NPI
Donna J Lager, M.D.
- Anatomic Pathology Physician
- Dallas, TX
National Provider Identifier
1942270178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- N2614
- Practice address
- 1355 River Bend Dr
Dallas, TX 75247-4915 - Phone
- (214) 638-2000
- Fax
- (214) 631-6724
- NPI assigned
- Jan 23, 2006
- Last updated
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 39654 | MN | |
| Anatomic Pathology Physician | 207ZP0101X | N2614 | TX | Primary |
Addresses
Primary practice location
1355 River Bend Dr
Dallas, TX 75247-4915
Mailing address
1355 River Bend Dr
Dallas, TX 75247-4915
Phone (214) 638-2000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021217200 | Medicaid | MN | |
| ENROLLED | Medicaid | IA | |
| 35233900 | Medicaid | WI | |
| 220021980 | Other | MN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39654 | MN | MD | Anatomic Pathology Physician |
| N2614 | TX | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Propath Associates, PLLC | Current | Accepting new patients |
Locations
1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818
505 S Nolen Dr
#A
Southlake, TX 76092
Phone (817) 424-1525
713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1649256546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1942270178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 RIVER BEND DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474915",
"telephone_number": "214-638-2000",
"fax_number": "214-631-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 RIVER BEND DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474915",
"telephone_number": "214-638-2000",
"fax_number": "214-631-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGER",
"first_name": "DONNA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MN",
"license": "39654",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TX",
"license": "N2614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021217200",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35233900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220021980",
"state": "MN"
}
],
"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 Sep 21, 2015; 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.