Organization Active NPI

Legacy West Anesthesia PLLC

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1306334149
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LEGACY WEST ANESTHESIA PLLC
Practice address
7000 Preston Rd Ste 1200
Plano, TX 75024-2512
Phone
(773) 425-4468
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Omid Ghalambor, MD
Title
Owner
Phone
(773) 425-4468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

7000 Preston Rd Ste 1200
Plano, TX 75024-2512

Mailing address

14908 Devonshire LN
Frisco, TX 75035-0648
Phone (773) 425-4468

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1306334149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14908 DEVONSHIRE LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350648",
            "telephone_number": "773-425-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 PRESTON RD STE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242512",
            "telephone_number": "773-425-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY WEST ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "GHALAMBOR",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-425-4468",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "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 Apr 26, 2018; 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.