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NORTHERN BAY WOMENS HEALTH CENTER PA NPI 1295748168


NPI Information

NPI: 1295748168
Provider Name: NORTHERN BAY WOMENS HEALTH CENTER, PA
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 45D0980084

Address:
6100 WINDCOM COURT
SUITE 102
PLANO, TX
ZIP 75093
Phone: (459) 574-0111
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NORTHERN BAY WOMENS HEALTH CENTER, PA is a gynecology obstetrics gynecology in Plano, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee NORTHERN BAY WOMENS HEALTH CENTER, PA NPI is 1295748168. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6100 WINDCOM COURT
SUITE 102
PLANO, TX
ZIP 75093-888
Phone: (459) 574-0111
Fax: (469) 574-0099

The provider's authorized official is Irwin Endelman .
The authorized official title is President and has the following contact phone number (469) 574-0111.

The CLIA number assigned to this NPI record is 45D0980084 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/14/2006 and was last updated on 1/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetricsNo
2207VG0400XObstetrics & GynecologyGynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F13312MEDICARE UPINTEXAS
200996NMEDICARE ID-TYPE UNSPECIFIEDTEXAS
30808512901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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