Organization Active NPI

Northeast Texas Womens Health P a

  • Obstetrics & Gynecology Physician
  • Mount Pleasant, TX
National Provider Identifier
1699756452
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NORTHEAST TEXAS WOMENS HEALTH P A
Practice address
2015 Mulberry Ave
Suite 250
Mount Pleasant, TX 75455-2312
Phone
(903) 572-4664
Fax
(903) 572-4647
NPI assigned
Nov 9, 2005
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Dr. Christopher N Mason, MDNPI 1215924832
Title
Physician/President
Phone
(903) 572-4664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

2015 Mulberry Ave
Suite 250
Mount Pleasant, TX 75455-2312

Mailing address

2015 Mulberry Ave
Suite 250
Mount Pleasant, TX 75455-2312
Phone (903) 572-4664

Other identifiers 5

IdentifierTypeStateIssuer
0076JYOtherTXBCBS
DA9153OtherRAIL ROAD MEDICARE
155802502MedicaidTX
121107OtherSUPERIOR HEALTH PLAN
155802501MedicaidTX

National Provider Directory

National Provider Directory

Locations

2001 N Jefferson Ave
Ste 220
Mt Pleasant, TX 75455
Phone (903) 572-4664

Practitioners & affiliated clinicians

Practitioners 1

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1699756452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MULBERRY AVE",
            "address_2": "SUITE 250",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552312",
            "telephone_number": "903-572-4664",
            "fax_number": "903-572-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MULBERRY AVE",
            "address_2": "SUITE 250",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552312",
            "telephone_number": "903-572-4664",
            "fax_number": "903-572-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TEXAS WOMENS HEALTH P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "903-572-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0076JY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DA9153",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155802502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "121107",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155802501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.