NPIMap

Organization Active NPI

Baystream Neurology, LLC

  • Electrodiagnostic Medicine Physician
  • McKinney, TX
National Provider Identifier
1124505805
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
BAYSTREAM NEUROLOGY, LLC
Practice address
550 N Central Expy Unit 707
McKinney, TX 75070-0036
Phone
(214) 865-6310
NPI assigned
Jul 25, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Doreen Shinn
Title
VP
Phone
(214) 865-6310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine Physician 204R00000X NU Primary

Addresses

Primary practice location

550 N Central Expy Unit 707
McKinney, TX 75070-0036

Mailing address

550 N Central Expy Unit 707
McKinney, TX 75070-0036
Phone (214) 865-6310

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1124505805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N CENTRAL EXPY UNIT 707",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700036",
            "telephone_number": "214-865-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N CENTRAL EXPY UNIT 707",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700036",
            "telephone_number": "214-865-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTREAM NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "214-865-6310"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.