Mary Winborn PA-C, PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06772 Issued in TX

Legal business name

MARY WINBORN PA-C, PC

Practice address

1314 Poinsettia Blvd
Denton, TX 76208-7551

Phone

(469) 438-9070

NPI assigned

May 5, 2011

Organization subpart

No

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

Authorized official

Name

Mary Winborn, PA-CNPI 1932412335

Title

President

Phone

(469) 438-9070

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Mary Harrell Winborn, P.A.

  • Physician Assistant
  • McKinney, TX
  • NPI 1932412335
  NPD (past) Authorized official

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1164714440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 POINSETTIA BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762087551",
            "telephone_number": "469-438-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 POINSETTIA BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762087551",
            "telephone_number": "469-438-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY WINBORN PA-C, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "WINBORN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-438-9070",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285341802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285341803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285341801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilda Elena Martinez-Campos, FNP-C
• Analyssa Ali Martinez
• Yasmine Aaliyah Martinez
• Randall Stuart Martz, PAC
• Mary Eberhart, WHNP-BC, P.L.L.C.
• Filippo Masciarelli, M.D.
• Andrea Mason
• Mass Effect Medical Group PLLC
• Connie Renee Massengill, PT
• Tim Massengill, PT

• Physician Assistant in Denton, TX
• Providers in Denton, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.