Organization Active NPI

Gary a Tigges M D P a

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1639363542
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J4563 Issued in TX
Legal business name
GARY A TIGGES M D P A
Practice address
6300 W Parker Rd
# 220
Plano, TX 75093-8168
Phone
(972) 981-8215
Fax
(972) 981-8038
NPI assigned
Sep 4, 2007
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Mrs. Lisa Prater
Title
Practice Manager
Phone
(972) 981-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J4563 TX Primary

Addresses

Primary practice location

6300 W Parker Rd
# 220
Plano, TX 75093-8168

Mailing address

6300 W Parker Rd
# 220
Plano, TX 75093-8168
Phone (972) 981-8215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050615000672 TX Part B Supplier - Clinic/Group Practice 3173567666 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1639363542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "# 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938168",
            "telephone_number": "972-981-8215",
            "fax_number": "972-981-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "# 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938168",
            "telephone_number": "972-981-8215",
            "fax_number": "972-981-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A TIGGES M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-981-8345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 3, 2008; 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.