Active NPI
Alice Fa
- Obstetrics & Gynecology Physician
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- T9102
- Practice address
- 5757 Warren Pkwy Ste 210
Frisco, TX 75034-4777 - Phone
- (972) 731-6565
- NPI assigned
- Apr 30, 2018
- Last updated
- Sep 1, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | T9102 | TX | Primary |
Addresses
Primary practice location
5757 Warren Pkwy Ste 210
Frisco, TX 75034-4777
Mailing address
5115 Ambergate LN
Dallas, TX 75287-5405
Phone (214) 490-0980
Other practice location 1
701 W 5th St
Odessa, TX 79763-4206
Phone (432) 703-5083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Texas Tech University Health Science Center School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
5757 Warren Pkwy
Ste 210
Frisco, TX 75034
Phone (972) 731-6565
920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855
Interoperability endpoints
- alice.fa.1@8042.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Obstetrics & Gynecology Physician
- Willow Park, TX
- NPI 1073679379
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Med Cntr - Frisco
- General Acute Care Hospital
- Frisco, TX
- NPI 1922002674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1679061196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 AMBERGATE LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752875405",
"telephone_number": "214-490-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WARREN PKWY STE 210",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344777",
"telephone_number": "972-731-6565"
}
],
"practiceLocations": [
{
"address_1": "701 W 5th St",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "797634206",
"country_code": "US",
"telephone_number": "432-703-5083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FA",
"first_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "T9102",
"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 Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.