Individual provider Active NPI

Fawzia N Jaffee, M.D.

  • Specialist
  • Plano, TX
National Provider Identifier
1215932124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K0841 Issued in TX
Practice address
5940 W Parker Rd
Ste 200
Plano, TX 75093-6404
Phone
(972) 781-0456
Fax
(972) 473-2422
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K0841 TX Primary

Addresses

Primary practice location

5940 W Parker Rd
Ste 200
Plano, TX 75093-6404

Mailing address

5940 W Parker Rd
Ste 200
Plano, TX 75093-6404
Phone (972) 781-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K0841TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215932124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 W PARKER RD",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936404",
            "telephone_number": "972-781-0456",
            "fax_number": "972-473-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 W PARKER RD",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936404",
            "telephone_number": "972-781-0456",
            "fax_number": "972-473-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFEE",
        "first_name": "FAWZIA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0841",
            "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 Jul 8, 2007; 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.