NPIMap

Organization Active NPI

Lewisville Obstetrics & Gynecology Associates. P.a.

  • Specialist
  • Flower Mound, TX
National Provider Identifier
1689628612
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LEWISVILLE OBSTETRICS & GYNECOLOGY ASSOCIATES. P.A.
Practice address
4001 Long Prairie Rd
Suite 150
Flower Mound, TX 75028-1535
Phone
(972) 420-1470
Fax
(972) 420-1465
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Mrs. Patricia Turner
Title
Practice Administrator
Phone
(972) 219-1319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X TX Primary

Addresses

Primary practice location

4001 Long Prairie Rd
Suite 150
Flower Mound, TX 75028-1535

Mailing address

4001 Long Prairie Rd
Suite 150
Flower Mound, TX 75028-1535
Phone (972) 420-1470

Other identifiers 1

IdentifierTypeStateIssuer
081987201MedicaidTX

Other names 1

  • Obstetrics & Gynecology Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000564 TX Part B Supplier - Clinic/Group Practice 1355369232 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Flower Mound, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practitioners & affiliated clinicians

Practitioners 11

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1689628612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LONG PRAIRIE RD",
            "address_2": "SUITE 150",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281535",
            "telephone_number": "972-420-1470",
            "fax_number": "972-420-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LONG PRAIRIE RD",
            "address_2": "SUITE 150",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281535",
            "telephone_number": "972-420-1470",
            "fax_number": "972-420-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISVILLE OBSTETRICS & GYNECOLOGY ASSOCIATES. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-219-1319",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081987201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obstetrics & Gynecology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.