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MEDISTAT GROUP ASSOCIATES, INC.
NPI 1376565341
Family Medicine - Adult Medicine in Desoto, TX

Active since July 25, 2006
2617 BOLTON BOONE DR, SUITE B, DESOTO, TX 75115(972) 709-1781(972) 709-1782 Get Directions Write a Review

NPPES record last updated: October 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medistat Group Associates, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDISTAT GROUP ASSOCIATES, INC. (NPI 1376565341) is a healthcare organization registered as an adult medicine in Desoto, Texas and active in the NPI registry since July 2006. The organization lists Teri Louise Shipman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376565341
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMEDISTAT GROUP ASSOCIATES, INC.
Location Address2617 BOLTON BOONE DR, SUITE BDesoto, TX 75115-2074
Mailing Address2617 Bolton Boone Dr, Suite BDesoto, TX 75115-2074 · (972) 709-1781 · Fax (972) 709-1782
Phone(972) 709-1781
Fax(972) 709-1782
Organization SubpartNo
Authorized OfficialTeri Louise ShipmanOffice Manager · (972) 709-1781
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 5, 2008
✔ NPI 1376565341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPulmonary Function TechnologistTaxonomy 225B00000X
Also ListedRespiratory Therapist, Certified · Pulmonary RehabilitationTaxonomy 2278P1005X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License G6955 (TX)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
2617 BOLTON BOONE DR, Desoto, TX 75115
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Other Identifiers 5

Medicare UPINC18105TX
Medicare ID-Type Unspecified8684B9TX · Jacques Roy, M.d
Medicare ID-Type Unspecified00728TTX · Group Number
Medicare ID-Type Unspecified8943B6TX · Louise Lamarre, M.d.
Medicare UPINC21376TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUES A ROY M.D.
Family Medicine (Adult Medicine)
2617 BOLTON BOONE DR, SUITE B
DESOTO, TX 75115
Dallas County (972) 709-1781
DR. LOUISE LAMARRE M.D.
Family Medicine
2617 BOLTON BOONE DR, SUITE B
DESOTO, TX 75115
Dallas County (972) 709-1781
VITAL HOUSECALL GROUP INC.
Physician Assistant
2617 BOLTON BOONE DR, STE. B
DESOTO, TX 75115
Dallas County (972) 709-1781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medistat Group Associates, Inc.'s NPI number?

The NPI number for Medistat Group Associates, Inc. is 1376565341. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Medistat Group Associates, Inc. located?

Medistat Group Associates, Inc. is located at 2617 Bolton Boone Dr Suite B, Desoto, TX 75115. The listed phone number is (972) 709-1781.

What is Medistat Group Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Medistat Group Associates, Inc. was last updated on October 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.