Organization Active NPI

Sara L. Gondol MD, PLLC

  • Pediatrics Physician
  • Frisco, TX
National Provider Identifier
1124335765
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M6149 Issued in TX
Legal business name
SARA L. GONDOL MD, PLLC
Practice address
6851 Warren Pkwy Ste 203
Frisco, TX 75034-4173
Phone
(469) 261-6040
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Dr. Sara Lynn Gondol, M.D.
Title
Owner
Phone
(469) 261-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X M6149 TX Primary

Addresses

Primary practice location

6851 Warren Pkwy Ste 203
Frisco, TX 75034-4173

Mailing address

6851 Warren Pkwy Ste 203
Frisco, TX 75034-4173
Phone (469) 261-6040

Other names 1

  • Starside Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

6851 Warren Pkwy
Ste 203
Frisco, TX 75034
Phone (469) 261-6040

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1124335765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 WARREN PKWY STE 203",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344173",
            "telephone_number": "469-261-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 WARREN PKWY STE 203",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344173",
            "telephone_number": "469-261-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA L. GONDOL MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "GONDOL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-261-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M6149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starside Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.