NPIMap

Organization Active NPI

Prime Neurocare

  • Neurology Physician
  • Plano, TX
National Provider Identifier
1104552165
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PRIME NEUROCARE
Practice address
6201 Dallas Pkwy Ste 210
Plano, TX 75024-3529
Phone
(469) 616-1922
Fax
(469) 519-1877
NPI assigned
Jul 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Authorized official

Name
Yu Zhao, MDNPI 1992148977
Title
Owner
Phone
(901) 335-4657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

6201 Dallas Pkwy Ste 210
Plano, TX 75024-3529

Mailing address

6201 Dallas Pkwy Ste 210
Plano, TX 75024-3529
Phone (469) 616-1922

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659139200000",
    "number": "1104552165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 DALLAS PKWY STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243529",
            "telephone_number": "469-616-1922",
            "fax_number": "469-519-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 DALLAS PKWY STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243529",
            "telephone_number": "469-616-1922",
            "fax_number": "469-519-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME NEUROCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "YU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-335-4657",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.