Organization Active NPI

Grace Anesthesia Consultants, PA

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1538700901
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GRACE ANESTHESIA CONSULTANTS, PA
Practice address
4700 Alliance Blvd
Plano, TX 75093-5323
Phone
(972) 908-0817
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Zita Larry, MD
Title
President
Phone
(972) 908-0817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4700 Alliance Blvd
Plano, TX 75093-5323

Mailing address

PO Box 1148
Frisco, TX 75034-0020

Other names 1

  • Zita Larry, MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191205002746 TX Part B Supplier - Clinic/Group Practice 7012340052 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

5900 Balcones Dr
Ste 1005819
Austin, TX 78731

12230 Coit Rd
Ste 101
Dallas, TX 75251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1538700901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ALLIANCE BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935323",
            "telephone_number": "972-908-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ANESTHESIA CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "LARRY",
        "authorized_official_first_name": "ZITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-908-0817",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zita Larry, MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.