Organization Active NPI

Melinda D Spooner MD PA

Doing business as OB-GYN Healthcare Associates

  • Gynecology Physician
  • Plano, TX
National Provider Identifier
1982713848
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
K2379 Issued in TX
Legal business name
MELINDA D SPOONER MD PA
Doing business as
OB-GYN Healthcare Associates
Practice address
3801 W 15TH St
Suite 270
Plano, TX 75075-4737
Phone
(972) 964-5514
Fax
(972) 312-1476
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Melinda D Spooner, MD
Title
Physician Owner
Phone
(972) 612-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X K2379 TX Primary

Addresses

Primary practice location

3801 W 15TH St
Suite 270
Plano, TX 75075-4737

Mailing address

3801 W 15TH St
Suite 270
Plano, TX 75075-4737
Phone (972) 964-5514

Other identifiers 1

IdentifierTypeStateIssuer
K2379OtherTXPROVIDER STATE LICENSE

Other names 1

  • OB-GYN Healthcare Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3804 W 15th St
Ste 140
Plano, TX 75075
Phone (469) 326-1600

Practitioners & affiliated clinicians

Practitioners 2

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1982713848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W 15TH ST",
            "address_2": "SUITE 270",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754737",
            "telephone_number": "972-964-5514",
            "fax_number": "972-312-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W 15TH ST",
            "address_2": "SUITE 270",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754737",
            "telephone_number": "972-964-5514",
            "fax_number": "972-312-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA D SPOONER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "972-612-5551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "K2379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER STATE LICENSE",
            "identifier": "K2379",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OB-GYN Healthcare Associates",
            "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 Oct 5, 2009; 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.