Ipc Pac Healthcare Services of Texas PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

IPC PAC HEALTHCARE SERVICES OF TEXAS PLLC

Practice address

14131 Midway Rd
Suite 620
Addison, TX 75001-3623

Phone

(972) 249-0200

NPI assigned

Jun 9, 2016

Last updated

Jul 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Ray Frantz, M.D.

Title

Owner/President

Phone

(865) 693-1000

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations (25 of 35)

Practitioners 133

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.

• Taofeekat Folashade Ajibade, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Land, TX
  • NPI 1427406834
  Medicare reassignment Care Compare group NPD
• Edna Akemu, NP-C

  • Family Nurse Practitioner
  • Richmond, TX
  • NPI 1447608278
  Medicare reassignment Care Compare group NPD
• Akinwande Akintola, M.D.

  • Psychiatry Physician
  • Plano, TX
  • NPI 1942265038
  Medicare reassignment Care Compare group NPD
• Patrice Barnum, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1215096029
  Medicare reassignment Care Compare group NPD
• Amanda Rose Caro, D.O.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1548589815
  Medicare reassignment Care Compare group NPD
• Jamie Lea Collins

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaumont, TX
  • NPI 1124783329
  Medicare reassignment Care Compare group NPD
• Esther K. Conteh

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosharon, TX
  • NPI 1891247920
  Medicare reassignment Care Compare group NPD
• Paula Cruz, LPC

  • Mental Health Counselor
  • Vidor, TX
  • NPI 1801501598
  Medicare reassignment Care Compare group NPD
• Jeffrey Eitel, RN,GNP-C

  • Gerontology Nurse Practitioner
  • Houston, TX
  • NPI 1558313163
  Medicare reassignment Care Compare group NPD
• Nember Ekole

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1073347886
  Medicare reassignment Care Compare group NPD
• Furo Uba Fabunmi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
  • NPI 1730719014
  Medicare reassignment Care Compare group NPD
• Latha Jacob, NP

  • Nurse Practitioner
  • Addison, TX
  • NPI 1376826503
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1194174201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY",
            "address_2": "SUITE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-693-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD",
            "address_2": "SUITE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013623",
            "telephone_number": "972-249-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPC PAC HEALTHCARE SERVICES OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "FRANTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-693-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristin L Jackson
• Linda Sue Jackson, PA-C

• Hospitalist Physician in Addison, TX
• Providers in Addison, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.