Windhaven Adolescent Medicine

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K1659 Issued in TX

Legal business name

WINDHAVEN ADOLESCENT MEDICINE

Practice address

6300 W Parker Rd
Suite 324
Plano, TX 75093-8100

Phone

(972) 403-5437

Fax

(972) 403-5438

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Laura Scalfano, MDNPI 1164484333

Title

Owner

Phone

(972) 403-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Laura H Scalfano, MD

  • Pediatrics Physician
  • Plano, TX
  • NPI 1164484333
  NPD (past) Authorized official

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1104083435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "SUITE 324",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "972-403-5437",
            "fax_number": "972-403-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "SUITE 324",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "972-403-5437",
            "fax_number": "972-403-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAVEN ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "SCALFANO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-403-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X7180",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Mary Wilson, DPM
• Taleesha Wilson
• Taylor Ross Wilson
• Peter John Wiltse, D.O.
• Win With Wellness,LLC
• Windhaven Medical Imaging.LLC
• Windhaven Pediatrics, LLP
• Windhaven Surgery Center, LLC
• Kevin Merle Windisch, MD
• Karis Windle Carmona, LCSW

• Pediatrics Physician in Plano, TX
• Providers in Plano, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.