MC Healthcare PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MC HEALTHCARE PA

Practice address

3044 Old Denton Rd Ste 317
Carrollton, TX 75007-5017

Phone

(972) 242-4440

Fax

(972) 242-4949

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Shahriar Setoudeh-Maram, MDNPI 1619950359

Title

Owner

Phone

(214) 585-3969

Specialties & licenses 1

Addresses

Other names 1

• familycare clinics Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 8

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

• Shahriar Setoudeh-Maram, MD

  • Family Medicine Physician
  • Carrollton, TX
  • NPI 1619950359
  Medicare reassignment NPD Authorized official
• Hong Phung Nguyen, FNP

  • Family Nurse Practitioner
  • Carrollton, TX
  • NPI 1699015040
  Medicare reassignment NPD
• Brittany Dirdack, FNP-C

  • Family Nurse Practitioner
  • Carrollton, TX
  • NPI 1316473671
  NPD
• Katherine Margaret Theresa Henry, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Southlake, TX
  • NPI 1255066635
  NPD
• Amy Michelle Bond, FNP

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1144855289
  NPD (past)
• Shelly Gordon

  • Family Nurse Practitioner
  • Southlake, TX
  • NPI 1366386146
  NPD (past)
• Holly Jamie, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1538836374
  NPD (past)
• Tressa Raye Edelman, FNP

  • Nurse Practitioner
  • Arcata, CA
  • NPI 1578515961
  NPD (past)

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1295053973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 317",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075017",
            "telephone_number": "972-242-4440",
            "fax_number": "972-242-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 317",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075017",
            "telephone_number": "972-242-4440",
            "fax_number": "972-242-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "SETOUDEH-MARAM",
        "authorized_official_first_name": "SHAHRIAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-585-3969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "familycare clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Maughan
• Mavstar Medical Transportation, Inc.
• Robert W Mayo, PT
• Akenjem Ebong Mba, NP
• Portia Mbah
• Elizabeth Odom McBride, M.S.
• Hannah McCasland, LPC
• Kelly Noel McClarnon, LCSW
• Luke McClendon, M.S. CCC-SLP
• Segrid Imani McClenton

• Primary Care Clinic/Center in Carrollton, TX
• Providers in Carrollton, 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 Mar 19, 2014; 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.