PEDIATRIC OFFICES AT WILLOW BEND (NPI# 1700045200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700045200 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC OFFICES AT WILLOW BEND |
| Practice Address |
6529 W Plano Pkwy Suite B Plano TX 75093-8209 |
| Practice Telephone | 9727811414 |
| Practice Fax Number | 9727811717 |
| Mailing Telephone | 9727811414 |
| Mailing Fax Number | 9727811717 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | KARI STARR (BILLING) |
| Authorized Official Telephone | 9727811414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G8509 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS PROVIDER NUMBER | 8G1040 | 01 |
| Street Address |
6529 W PLANO PKWY SUITE B |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8209 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282531 | Lorraine M Jenkins | Specialist | 2300 Mcdermott Rd # 200-304, Plano, TX 75025-7016 | 2016-09-03 |
| 1790130573 | Brownsville Infectious Disease Pa | Specialist | 4609 Forest Park Rd, Plano, TX 75024-3906 | 2016-04-28 |
| 1174934525 | Beth V. Anglin, M.d., Pa | Specialist | 3801 W. 15th Street, Plano, TX 75075 | 2014-05-19 |
| 1861814196 | Candlewood Suites Plano East | Specialist | 2401 E President George Bush Hwy, Plano, TX 75074-8355 | 2014-01-06 |
| 1780943480 | Ranger Neurophysiology, P.a. | Specialist | 4100 15th Street, Suite 206, Plano, TX 75093-5803 | 2012-05-15 |
| 1457643207 | Theresa Lee Bradley | Specialist | 8309 Bartley Cir, Plano, TX 75025-4319 | 2011-05-12 |
| 1225367659 | Shalini Katikaneni Md Pa | Specialist | 7509 New Heart Dr, Plano, TX 75024-3973 | 2009-12-14 |
| 1568641603 | Natan Yaker | Specialist | 4100 W 15th Street, Suite 106, Plano, TX 75093 | 2007-10-25 |
| 1790970192 | Shannon Leigh Benoy | Specialist | 1901 Lake Hill Ln, Plano, TX 75023-7457 | 2007-09-09 |
| 1376746131 | Jeffrey J. Genato | Specialist | 6009 W Parker Rd Ste 149 Pmb 310, Plano, TX 75093-8121 | 2007-06-08 |
| 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.