Individual provider Active NPI

Alexandra Jennifer Goldman, M.D.

  • Obstetrics & Gynecology Physician
  • Lewisville, TX
National Provider Identifier
1487717823
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
TRN10193 Issued in FL
Practice address
328 W Main St
Lewisville, TX 75057-3866
Phone
(972) 436-7557
Fax
(972) 221-8246
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRN10193 FL Primary
Obstetrics & Gynecology Physician 207V00000X N6316 TX

Addresses

Primary practice location

328 W Main St
Lewisville, TX 75057-3866

Mailing address

813 Camelot CT
Highland Village, TX 75077-1831
Phone (505) 235-6625

Other names 1

  • Alexandra Jennifer Emery-Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110512000147 TX Practitioner - Obstetrics/Gynecology 1850577677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New Mexico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas OB GYN AssociatesGroup PAC ID 9335102045, 7 clinicians

Practice addresses (Care Compare)

328 W Main St
Lewisville, TX 75057-3866
Phone 9724367557403

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN10193FLMDObstetrics & Gynecology Physician
N6316TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas OB GYN Associates CurrentSince Jan 26, 2011 Accepting new patients

Locations

328 W Main St
Lewisville, TX 75057
Phone (972) 436-7557

Interoperability endpoints

  • Direct secure messaging: alexandragoldman@ntobgyna.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1487717823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 CAMELOT CT",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750771831",
            "telephone_number": "505-235-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866",
            "telephone_number": "972-436-7557",
            "fax_number": "972-221-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN10193",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N6316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "EMERY-COHEN",
            "middle_name": "JENNIFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.