JENIFER ARLENE BRODERICK-THOMAS (NPI# 1457357279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457357279 |
| Entity Type | Individual |
| Full Name | JENIFER ARLENE BRODERICK-THOMAS |
| Credential | M.D. |
| Practice Address |
6300 W Parker Rd Ste 325 Plano TX 75093-8103 |
| Mailing Address |
Po Box 660046 Dallas TX 75266-0046 |
| Practice Telephone | 9729818088 |
| Mailing Telephone | 2143698555 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | K4001 | TX | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
K4001 | TX | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
K4001 | TX | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
K4001 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8M0810 | 01 |
| Street Address |
6300 W PARKER RD STE 325 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155743 | Katherine Lee Lloyd | Nurse Practitioner | 6300 W Parker Rd, Suite 325, Plano, TX 75093-8100 | 2016-10-17 |
| 1891168316 | Texas Premier Infectious Disease Consultants, Pllc | Hospitalist | 6300 W Parker Rd, Mob 2, Ste 128, Plano, TX 75093-8100 | 2015-11-05 |
| 1700271756 | Texas Medicine Resources LLP | Emergency Medicine | 6300 W Parker Rd, Plano, TX 75093-8100 | 2015-04-06 |
| 1386079267 | Otolaryngology Specialists of North Texas Pa | Specialist | 6300 W Parker Rd, Suite 326, Plano, TX 75093-8100 | 2013-09-10 |
| 1306104161 | Sabrina Stone | Internal Medicine | 6300 W Parker Rd, Mob 2, Suite #125, Plano, TX 75093-8100 | 2012-04-30 |
| 1952671638 | Larry Pettit Do Pa | Emergency Medicine | 6300 W Parker Rd, Suite 128, Plano, TX 75093-8100 | 2012-01-11 |
| 1578846127 | Alexandria R Devaughn | Nurse Practitioner | 6300 W Parker Rd, Building 2 Suite 325, Plano, TX 75093-8100 | 2011-09-20 |
| 1861701997 | Robert Duncan Sutherland | Specialist | 6300 W Parker Rd, Mob 2 Ste 128, Plano, TX 75093-8100 | 2010-10-07 |
| 1942527221 | Terre Q. Mcglothin, M.d., P.a. | Surgery | 6300 W Parker Rd, Mob 2, Suite 423, Plano, TX 75093-8100 | 2010-04-27 |
| 1982842357 | Susan Payberah, Md, P.a. | Clinic/Center | 6300 W Parker Rd, Suite 225, Plano, TX 75093-8100 | 2009-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497199467 | Ayla Farris | Obstetrics & Gynecology | 6124 W Parker Rd Building 3 Ste 136, Plano, TX 75093-8124 | 2013-04-22 |
| 1568725018 | Willow Bend Ob/gyn, Pllc | Obstetrics & Gynecology | 3004 Communications Parkway, Suite 200, Plano, TX 75093-8904 | 2012-06-20 |
| 1851672455 | Vanessa Woolridge Md, P.a. | Obstetrics & Gynecology | 1600 Coit Rd Ste 208c, Plano, TX 75075-6172 | 2011-09-09 |
| 1033413091 | Tania White-jackson, Pa | Obstetrics & Gynecology | 6300 W Parker Rd Bldg 2, Ste 325, Plano, TX 75093-8100 | 2011-01-06 |
| 1033347604 | Quyen Ngoc Bao Dang | Obstetrics & Gynecology | 3809 W. 15th St., Ste A, Plano, TX 75075-7790 | 2009-06-23 |
| 1407008485 | Robert Allen Glick | Obstetrics & Gynecology | 5949 Newgate Ln, Plano, TX 75093-4343 | 2008-10-21 |
| 1093989113 | Robert Thomas, M.d., P.a. | Obstetrics & Gynecology | 6200 W Parker Rd Ste 200, Plano, TX 75093-8108 | 2008-04-18 |
| 1871766170 | Marjan Seddighzadeh, M.d., P.a. | Obstetrics & Gynecology | 6200 W Parker Rd # Mob1, Suite 200, Plano, TX 75093-7939 | 2008-04-08 |
| 1295906683 | John M Parker Md Pa | Obstetrics & Gynecology | 3713 W 15th Street, Suite 402, Plano, TX 75075-7754 | 2008-03-13 |
| 1174708598 | Women's Care-ob/gyn | Obstetrics & Gynecology | 1600 Coit Rd Ste 402, Plano, TX 75075-6173 | 2008-01-03 |
| Find all providers in PLANO | ||||
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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.