Organization Active NPI

Craig Ranch Family Medicine, PA

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1366694028
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0647 Issued in TX
Legal business name
CRAIG RANCH FAMILY MEDICINE, PA
Practice address
8080 State Highway 121
Suite 350
McKinney, TX 75070-2900
Phone
(972) 908-2727
Fax
(972) 908-2728
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Maura Thielen, MD
Title
Member
Phone
(972) 908-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L0647 TX Primary

Addresses

Primary practice location

8080 State Highway 121
Suite 350
McKinney, TX 75070-2900

Mailing address

8080 State Highway 121
Suite 350
McKinney, TX 75070-2900
Phone (972) 908-2727

National Provider Directory

National Provider Directory

Locations

8080 State Highway 121
Ste 350
McKinney, TX 75070
Phone (214) 906-0829

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1366694028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 STATE HIGHWAY 121",
            "address_2": "SUITE 350",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702900",
            "telephone_number": "972-908-2727",
            "fax_number": "972-908-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 STATE HIGHWAY 121",
            "address_2": "SUITE 350",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702900",
            "telephone_number": "972-908-2727",
            "fax_number": "972-908-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG RANCH FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "THIELEN",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-908-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.