Active NPI
Northern Bay Womens Health Center, PA
- Gynecology Physician
- Plano, TX
National Provider Identifier
1295748168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- NORTHERN BAY WOMENS HEALTH CENTER, PA
- Practice address
- 6100 Windcom Court
Suite 102
Plano, TX 75093-7888 - Phone
- (459) 574-0111
- Fax
- (469) 574-0099
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irwin Endelman, MD
- Title
- President
- Phone
- (469) 574-0111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary | ||
| Obstetrics Physician | 207VX0000X |
Addresses
Primary practice location
6100 Windcom Court
Suite 102
Plano, TX 75093-7888
Mailing address
6100 Windcom Court
Suite 102
Plano, TX 75093-7888
Phone (469) 574-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808512901 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
4325 N Josey Ln
Ste 100
Carrollton, TX 75010
Phone (469) 574-0111
6100 Windcom Ct
Ste 102
Plano, TX 75093
Phone (972) 964-0170
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Carrollton, TX
- NPI 1942210398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357516800000",
"number": "1295748168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 WINDCOM COURT",
"address_2": "SUITE 102",
"city": "PLANO",
"state": "TX",
"postal_code": "750937888",
"telephone_number": "469-574-0111",
"fax_number": "469-574-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 WINDCOM COURT",
"address_2": "SUITE 102",
"city": "PLANO",
"state": "TX",
"postal_code": "750937888",
"telephone_number": "459-574-0111",
"fax_number": "469-574-0099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN BAY WOMENS HEALTH CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2013-01-07",
"status": "A",
"authorized_official_last_name": "ENDELMAN",
"authorized_official_first_name": "IRWIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-574-0111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0808512901",
"state": "TX"
}
],
"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 Jan 7, 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.