Organization Active NPI

Medical Innovations PLLC

  • General Practice Physician
  • Plano, TX
National Provider Identifier
1154893527
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICAL INNOVATIONS PLLC
Practice address
1900 Preston Rd Ste 267-308
Plano, TX 75093-3604
Phone
(469) 931-0684
Fax
(469) 931-0712
NPI assigned
Dec 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Dr. Timothy McAuliff, MD
Title
Medical Director
Phone
(210) 219-4183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1900 Preston Rd Ste 267-308
Plano, TX 75093-3604

Mailing address

1900 Preston Rd Ste 267-308
Plano, TX 75093-3604
Phone (210) 219-4183

National Provider Directory

National Provider Directory

Locations

1900 Preston Rd
Ste 267308
Plano, TX 75093
Phone (469) 931-0684

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1154893527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PRESTON RD STE 267-308",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933604",
            "telephone_number": "210-219-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PRESTON RD STE 267-308",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933604",
            "telephone_number": "469-931-0684",
            "fax_number": "469-931-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL INNOVATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "MCAULIFF",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-219-4183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Jun 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.

Verify at the official NPI Registry.