Individual provider Active NPI

Mary Gail Miesch, M.D., F.A.C.O.G.

  • Gynecology Physician
  • Paris, TX
National Provider Identifier
1972500098
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
H7081 Issued in TX
Practice address
945 S Collegiate Dr
Paris, TX 75460-6307
Phone
(903) 784-1141
Fax
(903) 784-6198
NPI assigned
Jul 5, 2005
Last updated
Oct 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X H7081 TX Primary

Addresses

Primary practice location

945 S Collegiate Dr
Paris, TX 75460-6307

Mailing address

945 S Collegiate Dr
Paris, TX 75460-6307
Phone (903) 784-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322001181 TX Practitioner - Obstetrics/Gynecology 4587610647 Practice locations: Paris, TX

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

945 S Collegiate Dr
Paris, TX 75460-6307
Phone (903) 784-1141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H7081TXMDGynecology Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1972500098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 S COLLEGIATE DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606307",
            "telephone_number": "903-784-1141",
            "fax_number": "903-784-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S COLLEGIATE DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606307",
            "telephone_number": "903-784-1141",
            "fax_number": "903-784-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESCH",
        "first_name": "MARY",
        "middle_name": "GAIL",
        "credential": "M.D., F.A.C.O.G.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "H7081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.