NPIMap

Organization Active NPI

Plano Texas Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Plano, TX
National Provider Identifier
1134516404
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PLANO TEXAS PLASTIC SURGERY CENTER
Practice address
5880 Ashmill Dr
Suite 200
Plano, TX 75024-0033
Phone
(972) 378-3870
Fax
(972) 378-7977
NPI assigned
Apr 23, 2015
Organization subpart
Yes
Parent organization
JRDES LIMITED PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. Jeff O Angobaldo, M.D,
Title
Manager
Phone
(972) 378-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5880 Ashmill Dr
Suite 200
Plano, TX 75024-0033

Mailing address

5880 Ashmill Dr
Suite 200
Plano, TX 75024-0033
Phone (972) 378-3870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1134516404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 ASHMILL DR",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240033",
            "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": "5880 ASHMILL DR",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240033",
            "telephone_number": "972-378-3870",
            "fax_number": "972-378-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO TEXAS PLASTIC SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JRDES LIMITED PARTNERSHIP",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "ANGOBALDO",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-378-3870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.