Ispin Health Holdings LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ISPIN HEALTH HOLDINGS LLC

Practice address

13500 Ponder LN
Frisco, TX 75035-5974

Phone

(214) 272-2774

Fax

(214) 444-7059

NPI assigned

Feb 13, 2023

Last updated

Feb 13, 2023By 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

Rehan ShahNPI 1255521332

Title

Owner

Phone

(214) 272-2774

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Rehan Shah, MD

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1255521332
  Authorized official Same address or phone

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1114624855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610610516",
            "telephone_number": "214-272-2774",
            "fax_number": "214-444-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 PONDER LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355974",
            "telephone_number": "214-272-2774",
            "fax_number": "214-444-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISPIN HEALTH HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-272-2774"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Frisco, TX
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• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.