Active NPI
Jeff Oliver Angobaldo, M.D.
- Plastic Surgery Physician
- Plano, TX
National Provider Identifier
1134304579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- M8498
- Practice address
- 6105 Windcom CT
Suite 150
Plano, TX 75093-7889 - Phone
- (972) 378-3870
- Fax
- (972) 378-7977
- NPI assigned
- Jan 3, 2008
- Last updated
- Apr 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | M8498 | TX | Primary |
Addresses
Primary practice location
6105 Windcom CT
Suite 150
Plano, TX 75093-7889
Mailing address
5880 Ashmill Dr
Ste 200
Plano, TX 75024-0031
Phone (972) 378-3870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8498 | TX | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Surgical Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- dmcjangob@yourcarecommunity.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Plano, TX
- NPI 1134516404
-
- Plastic Surgery Physician
- Plano, TX
- NPI 1366603359
-
- Ambulatory Surgical Clinic/Center
- The Colony, TX
- NPI 1164703815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1134304579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 ASHMILL DR",
"address_2": "STE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750240031",
"telephone_number": "972-378-3870",
"fax_number": "972-378-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6105 WINDCOM CT",
"address_2": "SUITE 150",
"city": "PLANO",
"state": "TX",
"postal_code": "750937889",
"telephone_number": "972-378-3870",
"fax_number": "972-378-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGOBALDO",
"first_name": "JEFF",
"middle_name": "OLIVER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "M8498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
- Angel Care Services LLC (Angel Care Services)
- Angela M Watson, MD, PA
- Kailee S Angle, MS, CCC-SLP
- Anglican Mission International Inc
- Beth Vanderhoff Anglin, M.D.
- Ronald G. Angus Jr., M.D.
- Fnu Anila, MD
- Anime Spartan LLC (Verve Counseling & Wellness)
- Rubi Shamsi Anjum, RDN, LD
- Annette Helmcamp PHD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.