Active NPI
Collin Physican Support
- Obstetrics & Gynecology Physician
- Plano, TX
National Provider Identifier
1902076151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- COLLIN PHYSICAN SUPPORT
- Practice address
- 4001 W 15TH St
#245
Plano, TX 75093-5841 - Phone
- (972) 612-8829
- Fax
- (972) 612-2875
- NPI assigned
- Mar 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jean M Ferrara, MD
- Title
- Partner
- Phone
- (972) 612-8829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
4001 W 15TH St
#245
Plano, TX 75093-5841
Mailing address
4001 W 15TH St
#245
Plano, TX 75093-5841
Phone (972) 612-8829
National Provider Directory
National Provider DirectoryLocations
4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204588800000",
"number": "1902076151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 W 15TH ST",
"address_2": "#245",
"city": "PLANO",
"state": "TX",
"postal_code": "750935841",
"telephone_number": "972-612-8829",
"fax_number": "972-612-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W 15TH ST",
"address_2": "#245",
"city": "PLANO",
"state": "TX",
"postal_code": "750935841",
"telephone_number": "972-612-8829",
"fax_number": "972-612-2875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLIN PHYSICAN SUPPORT",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-04",
"last_updated": "2008-03-04",
"status": "A",
"authorized_official_last_name": "FERRARA",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "972-612-8829",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.