Organization Active NPI

Jemini Abraham, MD PLLC

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1639719941
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEMINI ABRAHAM, MD PLLC
Practice address
5575 Warren Pkwy Ste 115
Frisco, TX 75034-4063
Phone
(469) 200-6100
Fax
(469) 200-6101
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Dr. Jemini Abraham, MD
Title
President
Phone
(214) 494-1457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5575 Warren Pkwy Ste 115
Frisco, TX 75034-4063

Mailing address

13896 Evergreen Dr
Frisco, TX 75035-0549
Phone (214) 494-1457

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1639719941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13896 EVERGREEN DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350549",
            "telephone_number": "214-494-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY STE 115",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344063",
            "telephone_number": "469-200-6100",
            "fax_number": "469-200-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEMINI ABRAHAM, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JEMINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-494-1457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.