Northlake OB/GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NORTHLAKE OB/GYN

Practice address

7777 Forest LN
C-234
Dallas, TX 75230-2505

Phone

(972) 566-7711

Fax

(972) 566-4795

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Angie Christon

Title

Practice Administrator

Phone

(972) 566-7711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer D Campbell, M.D., F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1689675969
  Medicare reassignment Care Compare group NPD
• Garrett Houston Garner, M.D., F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1679575393
  Medicare reassignment Care Compare group NPD
• Jason B. Harn, MD

  • Obstetrics & Gynecology Physician
  • Frisco, TX
  • NPI 1285837476
  Medicare reassignment Care Compare group NPD
• Jean McClintock, M.D., F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1619979507
  Medicare reassignment Care Compare group NPD
• Bruce John Roberts, M.D., F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1104828821
  Medicare reassignment Care Compare group NPD
• Michael T Ruk, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1356343255
  Medicare reassignment Care Compare group NPD
• Kristi Ryder, M.D., F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1154323053
  Medicare reassignment Care Compare group NPD
• Courtney G. Trylovich, M.D.

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1972548519
  Medicare reassignment Care Compare group NPD
• Nicole Pendley, MD

  • Obstetrics & Gynecology Physician
  • Frisco, TX
  • NPI 1023277274
  Medicare reassignment NPD
• Ayla Farris, M.D.

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1497199467
  NPD
• Elizabeth Portillo

  • Obstetrics & Gynecology Physician
  • Plano, TX
  • NPI 1184156739
  NPD
• Brittany Copenhaver Dobi, MD

  • Obstetrics & Gynecology Physician
  • Frisco, TX
  • NPI 1013206960
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1366555351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "C-234",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7711",
            "fax_number": "972-566-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "C-234",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7711",
            "fax_number": "972-566-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE OB/GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-566-7711"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ann Northcutt, PHARMD
• Tyler Northcutt
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• Northpark Health Partners
• Northpark Orthopaedics, PA
• Northpark Surgery Suites, Inc.
• Northpoint Pediatric Care P.a.

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.