Personalized Women'S Healthcare, P.a.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

K2501 Issued in TX

Legal business name

PERSONALIZED WOMEN'S HEALTHCARE, P.A.

Practice address

3108 Midway Rd
Suite 201
Plano, TX 75093-6383

Phone

(972) 473-2020

Fax

(972) 473-2077

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric Brian Jacoby, M.D.

Title

Vice President

Phone

(972) 473-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacoby and Fleming, M.D. Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1386732683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 MIDWAY RD",
            "address_2": "SUITE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936383",
            "telephone_number": "972-612-5466",
            "fax_number": "972-473-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 MIDWAY RD",
            "address_2": "SUITE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936383",
            "telephone_number": "972-473-2020",
            "fax_number": "972-473-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED WOMEN'S HEALTHCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "972-473-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "K2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096500602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacoby and Fleming, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Perpetual Care LLC
• Troslyn Tikina Perry-Mitchell, LPC
• Landon S Perry, M.D.
• Marissa Perry, COTA/L
• Rhonda Lynne Perry, M.A.
• Pert PLLC
• Neha Perumalla, DDS
• Heena Peshwani, AU.D
• Steven Phillip Peskind, M.D.
• Peter Andrew Benson DDS, PC

• Obstetrics Physician in Plano, TX
• Providers in Plano, TX by specialty
• Obstetrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.