MS. MARY JO KIPPA (NPI# 1396740437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396740437 |
| Entity Type | Individual |
| Full Name | MS. MARY JO KIPPA |
| Credential | PA |
| Practice Address |
4201 Medical Center Dr Ste 180 Mckinney TX 75069-1766 |
| Practice Telephone | 9725489690 |
| Practice Fax Number | 2149057550 |
| Mailing Telephone | 2144243615 |
| Mailing Fax Number | 2149057550 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2012-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02397 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4201 MEDICAL CENTER DR STE 180 |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75069-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061108 | Shahrukh A Kureishy | Internal Medicine | 4201 Medical Center Dr, Ste 200, Mckinney, TX 75069-1766 | 2005-05-27 |
| 1376052159 | Mckinney Oncology Pharmacy | Pharmacy | 4201 Medical Center Dr, Suite 320 A, Mckinney, TX 75069-1766 | 2017-09-25 |
| 1205363900 | Lisette Jackson | Audiologist | 4201 Medical Center Dr, Suite 270, Mckinney, TX 75069-1766 | 2017-05-12 |
| 1619408911 | Bashir Ahmed Md, Pa | Psychiatry & Neurology | 4201 Medical Center Dr, 200, Mckinney, TX 75069-1766 | 2017-03-27 |
| 1558717108 | Uma Medical Pllc | Physical Medicine & Rehabilitation | 4201 Medical Center Dr, Suite 260, Mckinney, TX 75069-1766 | 2016-05-12 |
| 1801242698 | Rxstock Specialty Pharmacy | Pharmacy | 4201 Medical Center Dr, Suite 320, Mckinney, TX 75069-1766 | 2016-05-11 |
| 1710291976 | Cassandra A Wilson | Audiologist | 4201 Medical Center Dr, Ste 270, Mckinney, TX 75069-1776 | 2010-07-29 |
| 1144408295 | Surgical Suites of Mckinney, Pa | Clinic/Center | 4201 Medical Center Dr, Suie 220, Mckinney, TX 75069-1764 | 2008-01-31 |
| 1760664585 | Salman Saeed Butt | Internal Medicine | 4201 Medical Center Dr, Suite #260, Mckinney, TX 75069-1766 | 2007-12-04 |
| 1891977328 | Alan A Slomowitz, Md, Pa | Radiology | 4201 Medical Center Dr, Suite 180, Mckinney, TX 75069-1766 | 2007-11-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026029 | Tiffany Lynn Lowery | Family Medicine | 103 East Lamar St, Mckinney, TX 75069 | 2020-09-06 |
| 1689285603 | Heather Nicole Hester | Social Worker | 4601 Medical Drive Ste F, Mckinney, TX 75069 | 2020-08-13 |
| 1114552916 | Wonderfully Made Wellness Sanctuary | Nurse Practitioner | 105 S. Tennessee Street Suite 102, Mckinney, TX 75069 | 2020-03-12 |
| 1477030385 | Kristyn Lowe | Licensed Vocational Nurse | 110 E Louisiana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1710464631 | Shasta Massey | Registered Nurse | 110 E Louisinana, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1215414149 | Allison Marion | Registered Nurse | 110 E Louisiana St, Suite 201-amp, Mckinney, TX 75069 | 2018-07-24 |
| 1497273759 | Kim C. Carson | Counselor | 201 W. Virginia Suite 203, Mckinney, TX 75069 | 2017-09-06 |
| 1629596283 | Christy Lynne Billings | Counselor | 101 W. Louisiana St. Suite # 208, Mckinney, TX 75069 | 2017-09-05 |
| 1932623626 | Lauren Broadbent | Speech-Language Pathologist | 265 Plateau Drive, Mckinney, TX 75069 | 2017-08-03 |
| 1932623147 | Lindsey Ann Gillespie | Nurse Practitioner | 4561 Medical Center Drive, Mckinney, TX 75069 | 2017-07-29 |
| Find all providers in zip 75069 | ||||
| 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 |
|---|---|---|---|---|
| 1598311300 | Irina Allen | Physician Assistant | 5801 Virginia Pkwy Ste 102, Mckinney, TX 75071-5410 | 2019-08-16 |
| 1831668508 | Peter T Trinh | Physician Assistant | 5236 W University Dr Ste 3300, Mckinney, TX 75071-8121 | 2018-11-24 |
| 1679056253 | Ingrid Pamela Castaneda-sanabria | Physician Assistant | 120 S Central Expy Ste 102, Mckinney, TX 75070-3753 | 2018-09-10 |
| 1518365253 | Vivian Le | Physician Assistant | 1720 N Central Expy Ste 150, Mckinney, TX 75070-3100 | 2014-12-11 |
| 1457770315 | Catherine Elizabeth Moyer | Physician Assistant | 1920 Eldorado Pkwy Ste 100, Mckinney, TX 75069-7962 | 2014-04-08 |
| 1407191513 | Megan E Cummings | Physician Assistant | 5236 W University Dr Ste 2200, Mckinney, TX 75071-8113 | 2012-11-29 |
| 1659631976 | Latori Daniel Abii | Physician Assistant | 4300 Community Blvd, Collin County Detention Facility, Mckinney, TX 75071-2535 | 2012-05-21 |
| 1093030728 | Erica R. Smith | Physician Assistant | 7692 Eldorado Pkwy, Mckinney, TX 75070-5652 | 2010-04-06 |
| 1679801054 | Gregg Fletcher | Physician Assistant | 8995 Stacy Rd, Mckinney, TX 75070-2167 | 2009-11-24 |
| 1447483789 | Elizabeth Barker Fearin | Physician Assistant | 2251 Eldorado Pkwy Ste 150, Mckinney, TX 75070 | 2009-09-03 |
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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.