Unknown Individual – Maternal & Fetal Medicine Physician, NPI 1669444295
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
9040 Reid St
Tacoma, WA 984311100
Phone: (253) 968-5161
Type: Location
620 S Fleishel Ave
Tyler, TX 75701
Phone: (903) 606-4900
Type: Location
2401 S 31st St
Temple, TX 765080001
Phone: (254) 724-2111
Type: Location
801 N 29th St
Billings, MT 591010905
Phone: (406) 238-2500
Type: Location
PO BOX 35100
BILLINGS, MT 591075100
Phone: (406) 238-2500
Type: Mailing
801 N 29TH ST
BILLINGS, MT 591010905
Phone: (406) 238-2500
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States of America
DALLAS, TX 752846098
Phone: (903) 324-6400
Type: Mailing
620, South Fleishel Avenue, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 75701
Phone: (903) 606-4900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-05-10 • Largest payer in this snapshot: Dexcom, Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Pediatric Medicine | TX | |
| Pediatric Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | FL | |
| Nurse Practitioner | TX |
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