North Dallas Urogynecology, PLLC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

N5283 Issued in TX

Legal business name

NORTH DALLAS UROGYNECOLOGY, PLLC

Practice address

3140 Legacy Dr
Suite 210
Frisco, TX 75034-6008

Phone

(469) 234-8888

Fax

(469) 234-8894

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Aimee Le Nguyen, MDNPI 1104042464

Title

Director

Phone

(469) 234-8888

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aimee L. Nguyen, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Frisco, TX
  • NPI 1104042464
  Medicare reassignment NPD Authorized official
• Amy Trinh, PA-S

  • Physician Assistant
  • Richardson, TX
  • NPI 1659088235
  Medicare reassignment

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1164722401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 LEGACY DR",
            "address_2": "SUITE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346008",
            "telephone_number": "469-234-8888",
            "fax_number": "469-234-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 LEGACY DR",
            "address_2": "SUITE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346008",
            "telephone_number": "469-234-8888",
            "fax_number": "469-234-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS UROGYNECOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-234-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N5283",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "N5283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N5283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.