NPIMap

Organization Active NPI

Stonebrook Family Medicine

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1154589612
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5271 Issued in TX
Legal business name
STONEBROOK FAMILY MEDICINE
Practice address
8200 Stonebrook Pkwy
#100
Frisco, TX 75034-5539
Phone
(972) 712-1911
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Mona Chacko, M.DNPI 1881681484
Title
Owner
Phone
(972) 712-1911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L5271 TX Primary

Addresses

Primary practice location

8200 Stonebrook Pkwy
#100
Frisco, TX 75034-5539

Mailing address

8200 Stonebrook Pkwy
#100
Frisco, TX 75034-5539
Phone (972) 712-1911

Other names 1

  • MONA CHACKO Other name

National Provider Directory

National Provider Directory

Locations

8200 Stonebrook Pkwy
Ste 100
Frisco, TX 75034
Phone (972) 712-1911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1154589612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 STONEBROOK PKWY",
            "address_2": "#100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345539",
            "telephone_number": "972-712-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 STONEBROOK PKWY",
            "address_2": "#100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345539",
            "telephone_number": "972-712-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBROOK FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-712-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONA CHACKO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 30, 2008; 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.