Myfitmed Provider PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MYFITMED PROVIDER PLLC

Doing business as

MyFitMed

Practice address

615 Main St Ste 104
Frisco, TX 75036-4313

Phone

(708) 717-4960

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Rory Allen

Title

Owner

Phone

(940) 231-4457

Specialties & licenses 1

Addresses

Other names 1

• MyFitMed Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephan Nicholas Polansky, PA-C

  • Physician Assistant
  • Frisco, TX
  • NPI 1841543980
  NPD
• Micah Madden, NP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1508525585
  NPD (past)
• Jwalant Patel, PA-C

  • Medical Physician Assistant
  • Irving, TX
  • NPI 1063841310
  NPD (past)

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1952952533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MAIN ST STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750364313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN ST STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750364313",
            "telephone_number": "708-717-4960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4228 N Central Expy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752066558",
            "country_code": "US",
            "telephone_number": "708-717-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYFITMED PROVIDER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-231-4457"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyFitMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michelle Renee Myers, PSYD
• Paul D Myers, MA, LPC-S
• Twinkle Myint, M.D.
• Yelyzaveta Mykhailovska
• Myo Fun Speech Plus
• Myung Soo Choi DDS. PLLC (Advanced Implant & Cosmetic Dentistry)
• N'Galla Home Care Services

• Family Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.