CENTENNIAL OB GYN PA (NPI# 1659354603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659354603 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL OB GYN PA |
| Practice Address |
5757 Warren Pkwy Suite 210 Frisco TX 75034-4274 |
| Practice Telephone | 9727316565 |
| Practice Fax Number | 9727316570 |
| Mailing Telephone | 9727316565 |
| Mailing Fax Number | 9727316570 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | MRS. KAREN KAY BAUSONE (PRACTICE MANAGER) |
| Authorized Official Telephone | 9727316565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
5757 WARREN PKWY SUITE 210 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-4274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760910350 | Carlton Bariatrics Pa | Surgery | 5757 Warren Pkwy, Frisco, TX 75034-4274 | 2017-05-26 |
| 1639619109 | Freedom Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 5757 Warren Pkwy, Suite 110, Frisco, TX 75034-4274 | 2017-03-03 |
| 1225589369 | Jerry W. Lewis Md Pa | Anesthesiology | 5757 Warren Pkwy, Suite 110, Frisco, TX 75034 | 2016-10-24 |
| 1245781822 | Centennial Ob Gyn, P.a. | Specialist | 5757 Warren Pkwy, Suite 210, Frisco, TX 75034-4274 | 2016-10-19 |
| 1396295614 | Heartbeat Anesthesia Pllc | Anesthesiology | 5757 Warren Pkwy, Suite 110, Frisco, TX 75034-4274 | 2016-10-11 |
| 1558818724 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 5757 Warren Pkwy, Professional Bldg II, Suite 110, Frisco, TX 75034-4274 | 2016-09-06 |
| 1114327319 | Tri Dental Pllc | Dentist | 5757 Warren Pkwy, 220, Frisco, TX 75034-4274 | 2014-08-26 |
| 1922420447 | Frisco Dental Health Center | Dentist | 5757 Warren Pkwy, Suite 220, Frisco, TX 75034 | 2014-01-17 |
| 1174892517 | Pinnacle Anesthesia Consultants Pa | Physician Assistant | 5757 Warren Pkwy, Suite 110, Frisco, TX 75034-4274 | 2011-12-14 |
| 1609157395 | Carrie Kim Patterson Md Pa | Obstetrics & Gynecology | 5757 Warren Pkwy, Suite 310, Frisco, TX 75034-4274 | 2011-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548670037 | Christopher Ortiz | Obstetrics & Gynecology | 5680 Frisco Square Blvd Ste 2700, Frisco, TX 75034 | 2014-05-06 |
| 1316231566 | Yetunde O Ibrahim | Obstetrics & Gynecology | 8380 Warren Pkwy Ste 201, Frisco, TX 75034 | 2011-06-06 |
| 1639387087 | Jennifer Rose Gulick | Obstetrics & Gynecology | 4461 Coit Rd Ste 401, Frisco, TX 75035-0527 | 2007-05-18 |
| 1104042464 | Aimee L. Nguyen | Obstetrics & Gynecology | 3140 Legacy Dr, Ste 210, Frisco, TX 75034-6008 | 2007-04-17 |
| 1205906815 | David Wing Inn Fong | Obstetrics & Gynecology | 2840 Legacy Drive, Suite 300, Frisco, TX 75034 | 2006-11-09 |
| 1578672598 | Catherine A Holt | Obstetrics & Gynecology | 5757 Warren Pkwy Ste 240, Frisco, TX 75034 | 2006-08-30 |
| 1013948397 | Pauline Petrovski | Obstetrics & Gynecology | 4461 Coit Rd Ste 205, Frisco, TX 75035-0524 | 2006-07-05 |
| 1003868332 | Jennifer Elliott Allen | Obstetrics & Gynecology | 4461 Coit Rd Suite 205, Centennial Medical Center Pavilion II, Frisco, TX 75035-5513 | 2006-05-16 |
| 1558346098 | Melissa Knox Bailey | Obstetrics & Gynecology | 5757 Warren Parkway, Suite 210, Frisco, TX 75034-4777 | 2005-12-07 |
| 1760489058 | Alan M Dulit | Obstetrics & Gynecology | 340 Peak One Drive, Pob 738, Frisco, CO 80443 | 2005-07-01 |
| Find all providers in FRISCO | ||||
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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.