Individual provider Active NPI

Julie A Davolio, M.D.

  • Specialist
  • Plano, TX
National Provider Identifier
1366550584
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3147 Issued in TX
Practice address
1600 Coit Rd Ste 202
Plano, TX 75075-6171
Phone
(972) 596-2470
Fax
(972) 985-9892
NPI assigned
Aug 28, 2006
Last updated
Feb 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K3147 TX Primary

Addresses

Primary practice location

1600 Coit Rd Ste 202
Plano, TX 75075-6171

Mailing address

1600 Coit Rd Ste 202
Plano, TX 75075-6171
Phone (972) 596-2470

Other identifiers 1

IdentifierTypeStateIssuer
K3147OtherTXSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000924 TX Practitioner - Obstetrics/Gynecology 4385720374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Plano Womens HealthcareGroup PAC ID 1850362021, 5 clinicians

Practice addresses (Care Compare)

1600 Coit Rd
Suite 202
Plano, TX 75075-6171
Phone (972) 596-2470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Plano Womens Healthcare CurrentSince Aug 1, 1997 Accepting new patients

Locations

1600 Coit Rd
Ste 202
Plano, TX 75075
Phone (972) 596-2470

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1366550584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COIT RD STE 202",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756171",
            "telephone_number": "972-596-2470",
            "fax_number": "972-985-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD STE 202",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756171",
            "telephone_number": "972-596-2470",
            "fax_number": "972-985-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVOLIO",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "K3147",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.