Organization Active NPI

Willowwood Holdings LLC

  • Anesthesiology Physician
  • Frisco, TX
National Provider Identifier
1043566052
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WILLOWWOOD HOLDINGS LLC
Practice address
5566 W Main St
Suite 210
Frisco, TX 75033-3669
Phone
(214) 618-5600
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Kim Sivaraman
Title
Billing Manager
Phone
(214) 618-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

5566 W Main St
Suite 210
Frisco, TX 75033-3669

Mailing address

5566 W Main St
Suite 210
Frisco, TX 75033-3669
Phone (214) 618-5600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1043566052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5566 W MAIN ST",
            "address_2": "SUITE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333669",
            "telephone_number": "214-618-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5566 W MAIN ST",
            "address_2": "SUITE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333669",
            "telephone_number": "214-618-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWWOOD HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "SIVARAMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-618-5600"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.