Organization Active NPI

Elite Gynecology and Med Spa

  • Medical Specialty Clinic/Center
  • Frisco, TX
National Provider Identifier
1407507809
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ELITE GYNECOLOGY AND MED SPA
Practice address
255 W Lebanon Ste 208
Frisco, TX 75036-3404
Phone
(430) 201-5004
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Jessica Pearce, D.O
Title
Physician/Owner
Phone
(386) 506-9528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

255 W Lebanon Ste 208
Frisco, TX 75036-3404

Mailing address

2113 Harwood Rd Ste 309
Bedford, TX 76021-4703
Phone (386) 506-9528

Other names 1

  • Aurora Health and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

2113 Harwood Rd
Ste 309
Bedford, TX 76021
Phone (210) 865-4896

255 W Lebanon
Ste 208
Frisco, TX 75036
Phone (469) 898-8869

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1407507809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 HARWOOD RD STE 309",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214703",
            "telephone_number": "386-506-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LEBANON STE 208",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363404",
            "telephone_number": "430-201-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE GYNECOLOGY AND MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "386-506-9528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.