Active NPI
Intricate Health
- Obstetrics & Gynecology Physician
- Plano, TX
National Provider Identifier
1992433262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- INTRICATE HEALTH
- Practice address
- 525 Shiloh Rd Ste 2100
Plano, TX 75074-7264 - Phone
- (469) 599-2212
- Fax
- (469) 245-0039
- NPI assigned
- Aug 12, 2022
- 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
- Charmaine C Gibson, MD
- Title
- Owner
- Phone
- (469) 640-6423
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
525 Shiloh Rd Ste 2100
Plano, TX 75074-7264
Mailing address
PO Box 942189
Plano, TX 75094-2189
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2269457 | Intricate Health | Provider-performed microscopy | Sep 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
525 Shiloh Rd
Ste 2100
Plano, TX 75074
Phone (469) 599-2212
Interoperability endpoints
- https://api.platform.athenahealth.com/26974/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Nurse Practitioner
- Plano, TX
- NPI 1124140264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1992433262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 942189",
"city": "PLANO",
"state": "TX",
"postal_code": "750942189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 SHILOH RD STE 2100",
"city": "PLANO",
"state": "TX",
"postal_code": "750747264",
"telephone_number": "469-599-2212",
"fax_number": "469-245-0039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTRICATE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-12",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "CHARMAINE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-640-6423",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE 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 Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.