MAILE MIXON (NPI# 1114291192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114291192 |
| Entity Type | Individual |
| Full Name | MAILE MIXON |
| Practice Address |
8080 Independence Pkwy Suite 200 Plano TX 75025-4000 |
| Mailing Address |
5425 W Spring Creek Pkwy Suite 200 Plano TX 75024-4236 |
| Practice Telephone | 9725969511 |
| Practice Fax Number | 9728678163 |
| Mailing Telephone | 9725999600 |
| Mailing Fax Number | 9725999696 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2015-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01583 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8080 INDEPENDENCE PKWY SUITE 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75025-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154327617 | William D Nicholson Iv | Surgery | 8080 Independence Pkwy, Ste 115, Plano, TX 75025-4000 | 2005-06-21 |
| 1710542006 | Interventional Partners | Podiatrist | 8080 Independence Pkwy, Plano, TX 75025-4000 | 2019-05-02 |
| 1629536727 | Catherine Skeens Nelms | Nurse Practitioner | 8080 Independence Pkwy, Plano, TX 75025-4000 | 2019-03-07 |
| 1548705213 | Collin Surgical Group, Pa | Surgery | 8080 Independence Pkwy, Suite 115, Plano, TX 75025-4000 | 2017-01-04 |
| 1710347737 | Vitality Weight Loss and Wellness Institute, Pllc | Clinic/Center | 8080 Independence Pkwy, Suite 230, Plano, TX 75025-4000 | 2016-03-03 |
| 1477912467 | Alycia L Hawkins | Nurse Practitioner | 8080 Independence Pkwy, Suite 200, Plano, TX 75025-4000 | 2016-02-18 |
| 1093100034 | Tarpon Pa | Anesthesiology | 8080 Independence Pkwy, Suite 110, Plano, TX 75025-4000 | 2015-04-06 |
| 1356746978 | Source One Physical Therapy | Physical Therapist | 8080 Independence Pkwy, Suite 110, Plano, TX 75025 | 2014-10-24 |
| 1902218456 | Texas Endoscopy Centers, LLC | Clinic/Center | 8080 Independence Pkwy, Ste 160, Plano, TX 75025-4000 | 2014-06-02 |
| 1790042687 | Omar Arif Durani | Family Medicine | 8080 Independence Pkwy, Suite 200, Plano, TX 75025-4000 | 2012-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425982 | Mary Deena Jacob | Nurse Practitioner | 2865 Mcdermott Rd #225, Plano, TX 75025 | 2019-03-05 |
| 1093295545 | Surgery Center 121 LLC | Clinic/Center | 9955 Gillespie Drive Suite 200, Plano, TX 75025 | 2018-08-15 |
| 1902383136 | Quang Dangtran | Adult Companion | 7604 Stoney Point Dr, Plano, TX 75025 | 2018-07-20 |
| 1598256851 | Rachel J Dove | Behavioral Analyst | 8900 Smokey Dr, Plano, TX 75025 | 2018-05-22 |
| 1659879641 | Beatrice Wambui Ngaruiya | Pharmacist | 312 Preston Rd, Plano, TX 75025 | 2018-01-25 |
| 1841718392 | Ngonje Emilia Dibaki | Community Health Worker | 7900 Stable Glen Drive, Plano, TX 75025 | 2017-09-05 |
| 1497280408 | Js Pedodontics Pllc | Dentist | 3555 National Drive, Ste. 200, Plano, TX 75025 | 2017-04-27 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1982147708 | Dentspan Pllc | Dentist | 3680 Sh 121, 100, Plano, TX 75025 | 2016-11-28 |
| 1669827093 | Raz Silberman | Community Health Worker | 9708 Congressional Dr, Plano, TX 75025 | 2016-05-04 |
| Find all providers in zip 75025 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472697 | Amna Dhanani | Physician Assistant | 2100 Hedgcoxe Rd Ste 140, Plano, TX 75025-3100 | 2020-09-23 |
| 1538717582 | Jenna Kelly | Physician Assistant | 3408 Walington Dr, Plano, TX 75093-7447 | 2019-09-03 |
| 1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
| 1275199002 | The Kim Tran | Physician Assistant | 6130 W Parker Rd Ste 103, Plano, TX 75093-7910 | 2019-05-16 |
| 1619433315 | Jennifer Perez | Physician Assistant | 1700 Alma Dr Ste 450, Plano, TX 75075-6986 | 2019-02-18 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1821567678 | Collaborative Surgical Services, Pllc | Physician Assistant | 2024 W 15th St Ste F #328, Plano, TX 75075-7364 | 2018-11-21 |
| 1528540366 | Christen Leah Reamy | Physician Assistant | 3809 W 15th St Ste A, Plano, TX 75075-7765 | 2018-08-29 |
| 1568965051 | Vital Assistance, Pllc | Physician Assistant | 2024 W 15th St Ste F # 327, Plano, TX 75075-7364 | 2018-03-12 |
| 1609313139 | Kristen Ann Walls | Physician Assistant | 4001 W 15th St Ste 100, Plano, TX 75093-5837 | 2017-01-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.