Individual provider Active NPI

Paul Michael Ziemba, ATC, OTC, OPA-C

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1740278191
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1248
Practice address
3800 Gaylord Pkwy Ste 710
Frisco, TX 75034-9635
Phone
(214) 220-2468
Fax
(214) 720-1982
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Assistant 246ZX2200X 10-0627
Medical Physician Assistant 363AM0700X 1248
Surgical Physician Assistant 363AS0400X 1248
Physician Assistant 363A00000X 1248 Primary
Athletic Trainer 2255A2300X AT8888 TX

Addresses

Primary practice location

3800 Gaylord Pkwy Ste 710
Frisco, TX 75034-9635

Mailing address

9301 N Central Expy Ste 500
Dallas, TX 75231-0805
Phone (214) 220-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT8888TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1740278191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310805",
            "telephone_number": "214-220-2468",
            "fax_number": "214-220-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 710",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349635",
            "telephone_number": "214-220-2468",
            "fax_number": "214-720-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMBA",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ATC, OTC, OPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-03-15",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": "10-0627",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "1248",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": "1248",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1248",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8888",
            "primary": false
        }
    ],
    "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 Mar 15, 2023; 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.