Willowbend Medical Services PLLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

136983 Issued in TX

Legal business name

WILLOWBEND MEDICAL SERVICES PLLC

Practice address

2633 Dallas Pkwy
Suite 100
Plano, TX 75093-4703

Phone

(972) 403-7733

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Jeremiah Graff, DPMNPI 1689831950

Title

Owner/Physician

Phone

(972) 403-7733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremiah Andrew Graff, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plano, TX
  • NPI 1689831950
  Medicare reassignment NPD Authorized official
• Peter D Leonard, MD

  • Anesthesiology Physician
  • Plano, TX
  • NPI 1750368957
  Medicare reassignment NPD
• Mounir Mekhail, MD

  • Pain Medicine (Anesthesiology) Physician
  • Richardson, TX
  • NPI 1235220468
  Medicare reassignment NPD

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1073988135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 DALLAS PKWY",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934703",
            "telephone_number": "972-403-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 DALLAS PKWY",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934703",
            "telephone_number": "972-403-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBEND MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "972-403-7733",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "136983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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)
• Willowbend Neurology, PA
• Willowbend Vascular Services LLC
• Chayce Wilmore
• Bryan Wilmut, LCDC
• Kelly Grace Wilpitz, MCN, RDN, LD

• Surgical Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.