Organization Active NPI

Premier Women's Health, LLP

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
National Provider Identifier
1013969278
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PREMIER WOMEN'S HEALTH, LLP
Practice address
1758 Broad Park Circle South
Mansfield, TX 76063
Phone
(972) 780-7330
Fax
(972) 780-7385
NPI assigned
May 16, 2006
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carolyn A Kollar, DONPI 1912976200
Title
Owner
Phone
(972) 780-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1758 Broad Park Circle South
Mansfield, TX 76063

Mailing address

1758 Broad Park Circle South
Mansfield, TX 76063
Phone (972) 780-7330

Other identifiers 1

IdentifierTypeStateIssuer
168943201MedicaidTX

Other names 1

  • Premier Women's Health Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1028977Premier Women's Health1758 Broad Park Circle South, Mansfield, TX 76063Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Locations

3450 W Wheatland Rd
Ste 443
Dallas, TX 75237
Phone (972) 572-3300

1758 Broad Park Cir S
Mansfield, TX 76063
Phone (972) 780-7330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1013969278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 BROAD PARK CIRCLE SOUTH",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "972-780-7330",
            "fax_number": "972-780-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 BROAD PARK CIRCLE SOUTH",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "972-780-7330",
            "fax_number": "972-780-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOMEN'S HEALTH, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "KOLLAR",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-780-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168943201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Women's Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.