Organization Active NPI

Stephen P. Courtney, M.D., P.a.

  • Specialist
  • Plano, TX
National Provider Identifier
1861687477
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J1639 Issued in TX
Legal business name
STEPHEN P. COURTNEY, M.D., P.A.
Practice address
2004 Ventura Dr Ste 200
Plano, TX 75093-2003
Phone
(972) 499-5457
Fax
(972) 499-5342
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Stephen P Courtney, MDNPI 1023013141
Title
President
Phone
(972) 499-5457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J1639 TX Primary

Addresses

Primary practice location

2004 Ventura Dr Ste 200
Plano, TX 75093-2003

Mailing address

2004 Ventura Dr Ste 200
Plano, TX 75093-2003
Phone (972) 499-5457

Other practice location 1

5228 W Plano Pkwy
Plano, TX 75093-5005
Phone (972) 250-5700

Other practice location 2

1705 Ohio Dr Ste 300
Plano, TX 75093
Phone (972) 499-5457

Other names 1

  • Advanced Spine Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627000423 TX Part B Supplier - Clinic/Group Practice 2961447362 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

1705 Ohio Dr
Ste 300
Plano, TX 75093
Phone (469) 409-3204

Practitioners & affiliated clinicians

Practitioners 3

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1861687477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 VENTURA DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932003",
            "telephone_number": "972-499-5457",
            "fax_number": "972-499-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 VENTURA DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932003",
            "telephone_number": "972-499-5457",
            "fax_number": "972-499-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5228 W Plano Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935005",
            "country_code": "US",
            "telephone_number": "972-250-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1705 Ohio Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "75093",
            "country_code": "US",
            "telephone_number": "972-499-5457",
            "fax_number": "972-449-5342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHEN P. COURTNEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-499-5457",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.