Little Elm Medical Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LITTLE ELM MEDICAL CLINIC PA

Practice address

730 E Eldorado Pkwy
Little Elm, TX 75068-5444

Phone

(972) 292-3330

Fax

(214) 619-4697

NPI assigned

Jan 23, 2006

Organization subpart

No

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

Authorized official

Name

John Gerard Flores, MDNPI 1568449593

Title

President/Ceo

Phone

(972) 292-3330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Little Elm Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Little Elm Medical Clinic PA

  • Clinic/Center
  • Little Elm, TX
  • NPI 1770867111
  NPD tax ID

Practitioners 3

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

• John Gerard Flores, MD

  • Internal Medicine Physician
  • Little Elm, TX
  • NPI 1568449593
  Medicare reassignment Care Compare group NPD Authorized official
• Jill Ellen Wolf, MD

  • Internal Medicine Physician
  • Little Elm, TX
  • NPI 1093792418
  Medicare reassignment Care Compare group NPD
• Kimberly Sue Wolf, FNPC

  • Family Nurse Practitioner
  • Little Elm, TX
  • NPI 1285628610
  Medicare reassignment NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1194795310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E ELDORADO PKWY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685444",
            "telephone_number": "972-292-3330",
            "fax_number": "214-619-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E ELDORADO PKWY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685444",
            "telephone_number": "972-292-3330",
            "fax_number": "214-619-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ELM MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "972-292-3330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Elm Dental Care PA
• Little Elm Dentistry and Orthodontics PC
• Little Elm Eye Care, P.a.
• Little Elm FM 423 Medical Center LLC
• Little Elm Independent School District
• Little Elm Medical Clinic PA
• Little Elm Orthopedic and Spine Rehab PC
• Little Elm Physical Rehab Center, LLC.
• Josh Longworth, LMT
• Brooklyn Lowe

• Internal Medicine Physician in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.