Active NPI
Michele Walters Cavenee, M.D.
- Obesity Medicine (Obstetrics & Gynecology) Physician
- Plano, TX
National Provider Identifier
1184869794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) Physician
- License
- H6104
- Practice address
- 2317 Coit Rd
Suite a
Plano, TX 75075-3774 - Phone
- (972) 943-3999
- Fax
- (972) 943-3997
- NPI assigned
- Dec 10, 2008
- Last updated
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Obstetrics & Gynecology) Physician | 207VB0002X | H6104 | TX | Primary |
Addresses
Primary practice location
2317 Coit Rd
Suite a
Plano, TX 75075-3774
Mailing address
2317 Coit Rd
Suite a
Plano, TX 75075-3774
Phone (972) 943-3999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 8, 2016 through Jun 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6104 | TX | MD | Obesity Medicine (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Eller MD PA | Past | Accepting new patients | |
| Vital Wellness & Weight Loss P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1184869794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 COIT RD",
"address_2": "SUITE A",
"city": "PLANO",
"state": "TX",
"postal_code": "750753774",
"telephone_number": "972-943-3999",
"fax_number": "972-943-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 COIT RD",
"address_2": "SUITE A",
"city": "PLANO",
"state": "TX",
"postal_code": "750753774",
"telephone_number": "972-943-3999",
"fax_number": "972-943-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVENEE",
"first_name": "MICHELE",
"middle_name": "WALTERS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VB0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obesity Medicine",
"state": "TX",
"license": "H6104",
"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 Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.