JENIFER ARLENE BRODERICK-THOMAS


Address: 6300 W Parker Rd, Ste 325, Plano, TX 75093-8103
Phone: 9729818088

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 8M0810 01

Office Location

Street Address 6300 W PARKER RD
STE 325
City PLANO
State TX
Zip Code 75093-8103

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City PLANO
Zip Code 75093

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Dataset Information

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.

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