Pickett Medical Center P.a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

H2690 Issued in TX

Legal business name

PICKETT MEDICAL CENTER P.A

Practice address

6600 Paige Rd
Sutie 105
The Colony, TX 75056-4500

Phone

(972) 625-5442

Fax

(972) 370-2301

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jan W Pickett, M.D.

Title

Physician Owner

Phone

(972) 625-5442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Lisa Melton, FNP-C

  • Family Nurse Practitioner
  • The Colony, TX
  • NPI 1205339082
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1275711657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 PAIGE RD",
            "address_2": "SUITE 105",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564500",
            "telephone_number": "972-625-5442",
            "fax_number": "972-370-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 PAIGE RD",
            "address_2": "SUTIE 105",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564500",
            "telephone_number": "972-625-5442",
            "fax_number": "972-370-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKETT MEDICAL CENTER P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "972-625-5442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "H2690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F0090",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Allison Pels
• Candida Rosa Perez Marval, MT
• Jose Jesus Perez
• Benita Peters
• Stephie Philip, SLP-A
• Annie Lee Pittman
• Claire Pitts
• Katelyn Jane Pothoff, BCBA
• Prime Family Dentistry, P.C.
• Prosimind Wellness PLLC

• Primary Care Clinic/Center in The Colony, TX
• Providers in The Colony, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.