Ronnie D Shade is a Sports Medicine in Dallas, Texas. Ronnie D Shade practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Ronnie D Shade is 1952309973. The last update date is 2016-11-29.
Ronnie D Shade's current location address is 7310 S Westmoreland Rd Ste 1, Dallas, Texas. You can contact this provider via phone number 2143374700 and fax number 9727092847. The mailing address for Ronnie D Shade is 7310 S Westmoreland Rd Ste 1, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronnie D Shade |
|---|---|
| Address | 7310 S Westmoreland Rd Ste 1, Dallas, Texas |
| Phone Number | 2143374700 |
| Fax Number | 9727092847 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1952309973 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2016-11-29 |
Provider Mailing Address Detail
| Address | 7310 S Westmoreland Rd Ste 1 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752373002 |
| Phone Number | 2143374700 |
| Fax Number | 9727092847 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | G6395 |
|
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32574801 | TX | -- | |
| 00CW90 | MEDICARE ID | ||
| 472312ZS6W | MEDICARE ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ronnie D Shade by the Centers for Medicare & Medicaid Services?
The Ronnie D Shade has been issued the NPI (National Provider Identifier) 1952309973 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ronnie D Shade's facilities are situated?
The facilities of Ronnie D Shade are physically located at the following address: 7310 S Westmoreland Rd Ste 1, Dallas, TX, 752373002.
What is the Ronnie D Shade's area of specialization and corresponding taxonomy classification?
The Ronnie D Shade's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1952309973 to Ronnie D Shade?
The Ronnie D Shade received its 1952309973 assignment from the Centers for Medicare & Medicaid Services on 2005-07-13.
When was the information regarding Ronnie D Shade most recently updated?
The details pertaining to the Ronnie D Shade, including its address, specialty, and other relevant information, were last refreshed on 2016-11-29.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI