MJMD Primary Care and Aesthetic Medicine Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MJMD PRIMARY CARE AND AESTHETIC MEDICINE CORP

Practice address

3721 S Stonebridge Dr Unit 703
McKinney, TX 75070-0234

Phone

(214) 548-4995

Fax

(855) 592-2912

NPI assigned

Jun 2, 2023

Last updated

Apr 30, 2024By 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

Mayssara Jubori, MDNPI 1518317148

Title

Owner

Phone

(313) 550-4997

Specialties & licenses 2

Addresses

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

Locations

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.

• Mayssara Jubori, MD

  • Internal Medicine Physician
  • McKinney, TX
  • NPI 1518317148
  Medicare reassignment NPD Authorized official
• Zaid Qaraghan, M.D.

  • Internal Medicine Physician
  • Allen, TX
  • NPI 1144634809
  Medicare reassignment NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1245923325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 LONGWOOD DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132954",
            "telephone_number": "313-550-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 S STONEBRIDGE DR UNIT 703",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700234",
            "telephone_number": "214-548-4995",
            "fax_number": "855-592-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJMD PRIMARY CARE AND AESTHETIC MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "JUBORI",
        "authorized_official_first_name": "MAYSSARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-550-4997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mitchell, MA, LPC
• Melissa Mitchell
• Nicholas Wayne Mitchell, D.C.
• William Clark Mitchell, M.D.
• Anusha Mithani
• MKKC Corp. (Griswold Home Care North & East Collin Co., Lake Ray Hubbard, TX)
• MKM Counseling Services Inc.
• Stephanie Mo, M.D.
• Mobile MD PA
• Modern Dental Care PC (Smiles Modern Dental)

• Internal Medicine Physician in McKinney, TX
• Providers in McKinney, 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 Apr 30, 2024; 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.