1649800277 NPI number — HAILEY MICHAELA ORR PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649800277 NPI number — HAILEY MICHAELA ORR PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORR
Provider First Name:
HAILEY
Provider Middle Name:
MICHAELA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649800277
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8055 WINDROSE AVE APT 3221
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75024-0281
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-852-5341
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1820 PRESTON PARK BLVD STE 2400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75093-3716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-655-4141
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8PX9617 . This is a "BCBS - US MSO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: PA13304 . This is a "TEXAS MEDICAL BOARD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8MK533 . This is a "BCBS - BLUE STAR SURGICAL ASSISTANTS LLC" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8MG393 . This is a "BCBS - UNIVERSAL SURGICAL ASSISTANTS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8MG394 . This is a "BCBS - UNIVERSAL SURGICAL PARTNERS INC" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8MK534 . This is a "BCBS - XCITE SURGICAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".