Willow Bend Family Medicine P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2316 Issued in TX

Legal business name

WILLOW BEND FAMILY MEDICINE P.A.

Practice address

6124 W Parker Rd Ste 138
Plano, TX 75093-8124

Phone

(972) 981-7000

NPI assigned

May 31, 2007

Last updated

Sep 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn Or Thao Perkins Or Tong

Title

Billing Office

Phone

(972) 981-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60368

Practitioners 5

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.

• William Anthony Calley Jr., MD

  • Family Medicine Physician
  • Plano, TX
  • NPI 1467763961
  Medicare reassignment Care Compare group NPD
• Robert A Cook, MD

  • Family Medicine Physician
  • Plano, TX
  • NPI 1568407690
  Medicare reassignment Care Compare group NPD
• Ramin Roufeh, MD

  • Family Medicine Physician
  • Plano, TX
  • NPI 1508014275
  Medicare reassignment Care Compare group
• David B Fraser, PA

  • Family Medicine Physician
  • Carrollton, TX
  • NPI 1275733768
  Medicare reassignment
• Emily Jackson Luevanos, P.A.

  • Medical Physician Assistant
  • Plano, TX
  • NPI 1225216153
  Medicare reassignment

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1053512400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 138",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-981-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 138",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938124",
            "telephone_number": "972-981-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BEND FAMILY MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "PERKINS OR TONG",
        "authorized_official_first_name": "DAWN OR THAO",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "972-981-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTIN",
            "identifier": "00478N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri L Willis, LCSW
• Tonya Willis, MA; LPC
• Cynthia Jane Willmon, PH.D.
• Matthew Ryan Willoughby
• Tony Willoughby
• Willow Bend Home Health, LLC
• Willow Bend OB/GYN, PLLC
• Willow Bend Orthodontics, PLLC (Willow Bend Orthodontics)
• Willow Operations, LLC
• Willowbend Diagnostic Imaging, PLLC (Insight Imaging - Willowbend)

• Family Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.