Obstetrics & Gynecology PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OBSTETRICS & GYNECOLOGY PA

Doing business as

Dallas OBGYN PA

Practice address

7777 Forest LN Ste D550
Dallas, TX 75230-2557

Phone

(972) 566-7009

Fax

(972) 566-6289

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Grace Mooken, MD

Title

Dr

Phone

(972) 566-7009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Dallas OBGYN PA Doing business as
• Obstetrics & Gynecology PA Former legal business name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Camille Clark, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1295819316
  Medicare reassignment Care Compare group
• Kelli Culpepper, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1376615203
  Medicare reassignment Care Compare group
• Quynh CHI Ihi Dinh, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1447334578
  Medicare reassignment Care Compare group
• Mark S Bernstien, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1568546554
  Medicare reassignment
• Robert I Milstein, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1467524397
  Medicare reassignment
• Rebecca Pedersen, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1023505708
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1649222647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE D550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302557",
            "telephone_number": "972-566-7009",
            "fax_number": "972-566-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE D550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302557",
            "telephone_number": "972-566-7009",
            "fax_number": "972-566-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS & GYNECOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MOOKEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "972-566-7009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL PLANS WITH ACCESS",
            "identifier": "8HF612",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dallasobgynpa.com",
            "affiliation": "N",
            "endpointDescription": "info@dallasobgynpa.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7777 Forest Ln",
            "address_2": "D550",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752302505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dallasobgynpa.com",
            "affiliation": "N",
            "address_1": "7777 Forest Ln Ste D550",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752302557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dallas OBGYN PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Obstetrics & Gynecology PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Obstetrics & Gynecology PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hyginus Ihenacho Obinwanne, REGISTERED NURSE
• Uzochi Linda Obioha, M.D.
• Onyinye Marygrace Obiorah, PMHNP-BC
• Elsa Obonyo, RN, BSN, PMHNP-BC
• Obstetrics & Gynecology Associates of Dallas, P a
• Blessing Obukwelu, MD
• Merceline Obuong
• Christabel Obuseh, PA-C
• Oc Childrens Dentistry
• Emily Ocampo-Robles

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.