| Md On Call Pa | |
|
5601 Warren Pkwy Frisco TX 75034-4069 | |
| (214) 766-7282 | |
| (214) 377-3701 |
| Full Name | Md On Call Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5601 Warren Pkwy, Frisco, Texas |
| Authorized Official Name and Position | Scott Fitzgerald (BOARD MEMBER) |
| Authorized Official Contact | 2147667282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md On Call Pa 801 E Campbell Rd Ste 400 Richardson TX 75081-6797 Ph: (214) 766-7282 | Md On Call Pa 5601 Warren Pkwy Frisco TX 75034-4069 Ph: (214) 766-7282 |
| NPI Number | 1144268186 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/22/2022 |
| Medicare PECOS PAC ID | 2264402874 |
|---|---|
| Medicare Enrollment ID | O20040730000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144268186 | NPI | - | NPPES |
| 083185101 | Medicaid | TX | |
| 161088301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert R Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265457956 PECOS PAC ID: 7719874882 Enrollment ID: I20040303000135 |
| Provider Name | Ryan H Heise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578506010 PECOS PAC ID: 0840260352 Enrollment ID: I20040730000253 |
| Provider Name | Tom T Thayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972541381 PECOS PAC ID: 9931151461 Enrollment ID: I20050214000178 |
| Provider Name | Namitha Govinda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770743577 PECOS PAC ID: 9436225992 Enrollment ID: I20080919000071 |
| Provider Name | Andrew Scott Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184667545 PECOS PAC ID: 3476522137 Enrollment ID: I20081008000544 |
| Provider Name | Ronald G Angus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902843865 PECOS PAC ID: 0840269502 Enrollment ID: I20110608000051 |
| Provider Name | Ken Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316980295 PECOS PAC ID: 2466582028 Enrollment ID: I20111215000787 |
| Provider Name | Megan Sarah Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104208990 PECOS PAC ID: 3476845884 Enrollment ID: I20160705001935 |
| Provider Name | Carrie Dehaven Baughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174978746 PECOS PAC ID: 5597040410 Enrollment ID: I20170316000098 |
| Provider Name | Kellee Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366901274 PECOS PAC ID: 3971837303 Enrollment ID: I20190619000259 |
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