DR. JODIE PEDEN DEJECACION (NPI# 1487692067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487692067 |
| Entity Type | Individual |
| Full Name | DR. JODIE PEDEN DEJECACION |
| Credential | M.D. |
| Practice Address |
9255 Dallas Pkwy Ste 110 Frisco TX 75033-4211 |
| Practice Telephone | 9723771490 |
| Practice Fax Number | 9723771499 |
| Mailing Telephone | 9723771490 |
| Mailing Fax Number | 9723771499 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M0053 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID OTHER | 176748502 | 01 |
| TX | 176748501 | 05 |
| Street Address |
9255 DALLAS PKWY STE 110 |
| City | FRISCO |
| State | TX |
| Zip Code | 75033-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740669746 | Paulina Thanawala | Family Medicine | 9255 Dallas Pkwy Ste 110, Frisco, TX 75033-4211 | 2015-05-22 |
| 1295153914 | Suman Donepudi | Family Medicine | 9255 Dallas Pkwy Ste 110, Frisco, TX 75033-4211 | 2014-03-31 |
| 1023300449 | Mohita Anil Patel | Family Medicine | 9255 Dallas Pkwy Ste 110, Frisco, TX 75033-4211 | 2011-05-03 |
| 1629014709 | Valentina Ignacio Cruz | Physician Assistant | 9255 Dallas Pkwy Ste 110, Frisco, TX 75033-4211 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041370 | Crown Billing LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliot Dr., Ste 700, Frisco, TX 75033 | 2020-07-24 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1811548050 | Dvt Elimination LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr, Suite 700, Frisco, TX 75033 | 2019-09-27 |
| 1174008163 | Bobby Cineus Renaud | Registered Nurse | 1801 Mccord Way Apt 813, Frisco, TX 75033 | 2018-09-26 |
| 1740762186 | Lisa Powell | Physical Therapist | 3280 Appleblossom Dr, Frisco, TX 75033 | 2018-09-01 |
| 1992283519 | Crown Medical Billing | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr., Suite 700, Frisco, TX 75033 | 2018-08-06 |
| 1780175497 | Kendall Marie Schatzle | Occupational Therapist | 10050 Legacy Dr Ste 200, Frisco, TX 75033 | 2018-05-29 |
| 1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
| 1932611704 | Parul Vashisht | Dentist | 1606 Fm 423, Suite 200, Frisco, TX 75033 | 2017-11-01 |
| Find all providers in zip 75033 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246540 | Avani Patel | Family Medicine | 13545 Torrington Dr, Frisco, TX 75035-7395 | 2020-02-12 |
| 1174162952 | Courtney Chovanak Nicholls | Family Medicine | 3323 Cumberland Ln, Frisco, TX 75033-2375 | 2019-12-27 |
| 1952952533 | Myfitmed Provider Pllc | Family Medicine | 615 Main St Ste 104, Frisco, TX 75036-4313 | 2019-09-24 |
| 1689222945 | Phoenix Integrative Medical Center Pllc | Family Medicine | 6380 Preston Rd, Frisco, TX 75034-6384 | 2019-08-29 |
| 1407409311 | Connections Primary Care Frisco | Family Medicine | 255 W Lebanon Ste 124, Frisco, TX 75036-3412 | 2019-07-19 |
| 1932670643 | Lynda E. Mbah, Md, Pllc | Family Medicine | 5285 Independence Pkwy Ste 400, Frisco, TX 75035-4646 | 2018-12-07 |
| 1700352820 | Ideh Macdonald | Family Medicine | 57 Cattail Pond Dr, Frisco, TX 75034-8584 | 2018-10-16 |
| 1073018131 | Frisco Total Wellness Clinic, Pllc | Family Medicine | 14550 Highway 121, Suite 130, Frisco, TX 75035 | 2018-03-29 |
| 1245744580 | Whhwc LLC | Family Medicine | 5899 Preston Rd Ste 803, Frisco, TX 75034-7425 | 2017-11-22 |
| 1023528239 | My Medical Housecall & Wellness LLC | Family Medicine | 5570 Fm 423 Ste 250-2011, Frisco, TX 75034 | 2017-10-03 |
| Find all providers in FRISCO | ||||
Please comment or provide details below to improve the information on DR. JODIE PEDEN DEJECACION.
| 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.