Active NPI
Michael Taba MD PA
- Orthopaedic Surgery Physician
- Plano, TX
National Provider Identifier
1467598524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- MICHAEL TABA MD PA
- Practice address
- 1705 Ohio Dr
Suite 200
Plano, TX 75093-5255 - Phone
- (972) 964-2626
- Fax
- (972) 964-8180
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael M Taba, MD
- Title
- Owner
- Phone
- (972) 964-2626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1705 Ohio Dr
Suite 200
Plano, TX 75093-5255
Mailing address
1705 Ohio Dr
Suite 200
Plano, TX 75093-5255
Phone (972) 758-3595
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194743402 | Medicaid | TX | |
| DO0757 | Other | TX | RAILROAD |
| 0024PU | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233619200000",
"number": "1467598524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 OHIO DR",
"address_2": "SUITE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750935255",
"telephone_number": "972-758-3595",
"fax_number": "972-599-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 OHIO DR",
"address_2": "SUITE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750935255",
"telephone_number": "972-964-2626",
"fax_number": "972-964-8180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL TABA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2009-02-03",
"status": "A",
"authorized_official_last_name": "TABA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-964-2626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194743402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "DO0757",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0024PU",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.