Active NPI
Michele Lenee Safstrom, P.A. - C
- Physician Assistant
- McKinney, TX
National Provider Identifier
1497903546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03249
- Practice address
- 4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602 - Phone
- (972) 548-8382
- Fax
- (972) 547-9951
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03249 | TX | Primary |
Addresses
Primary practice location
4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602
Mailing address
4510 Medical Center Dr Ste 211
McKinney, TX 75069-1602
Phone (972) 548-8382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03249 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrocrest Orthopaedics & Sports Medicine | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Specialist
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-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1497903546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 MEDICAL CENTER DR STE 211",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750691602",
"telephone_number": "972-548-8382",
"fax_number": "972-547-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 MEDICAL CENTER DR STE 211",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750691602",
"telephone_number": "972-548-8382",
"fax_number": "972-547-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFSTROM",
"first_name": "MICHELE",
"middle_name": "LENEE",
"credential": "P.A. - C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03249",
"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 Mar 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.