Individual provider Active NPI

Gretchen Ann Champion, M.D.

  • Otolaryngology Physician
  • Allen, TX
National Provider Identifier
1104869866
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M0684 Issued in TX
Practice address
1105 North Central Expressway, Suite 210
Allen Ear, Nose, Throat, & Allergy, P.a.
Allen, TX 75013
Phone
(972) 747-4646
Fax
(972) 747-4633
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X M0684 TX Primary

Addresses

Primary practice location

1105 North Central Expressway, Suite 210
Allen Ear, Nose, Throat, & Allergy, P.a.
Allen, TX 75013

Mailing address

1105 North Central Expressway, Suite 210
Allen Ear, Nose, Throat, & Allergy, P.a.
Allen, TX 75013
Phone (972) 747-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000210 TX Practitioner - Otolaryngology 9133153398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The ENT and Allergy Centers of Texas, PLLCGroup PAC ID 4385709054, 56 clinicians

Practice addresses (Care Compare)

5220 W University Dr
Suite 150
McKinney, TX 75071-7418
Phone (972) 984-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The ENT & Allergy Centers of Texas, PLLC Otolaryngology CurrentSince Nov 28, 2008 Accepting new patients
Richard D Thrasher III MD PA Otolaryngology PastSince Nov 28, 2008 Accepting new patients

Locations

1111 Raintree Cir
Ste 280
Allen, TX 75013
Phone (972) 984-1050

1105 Central Expy N
Ste 210
Allen, TX 75013
Phone (972) 747-4646

1060 S Preston Rd
Ste 106
Celina, TX 75009
Phone (469) 488-4800

11700 Teel Pkwy
Ste 201
Frisco, TX 75033
Phone (214) 620-8698

5220 W University Dr
Ste 150
McKinney, TX 75071
Phone (972) 632-3270

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1104869866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 NORTH CENTRAL EXPRESSWAY, SUITE 210",
            "address_2": "ALLEN EAR, NOSE, THROAT, & ALLERGY, P.A.",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "972-747-4646",
            "fax_number": "972-747-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 NORTH CENTRAL EXPRESSWAY, SUITE 210",
            "address_2": "ALLEN EAR, NOSE, THROAT, & ALLERGY, P.A.",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "972-747-4646",
            "fax_number": "972-747-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "GRETCHEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M0684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.