Organization Active NPI

Diagnostex Consultants PLLC

  • Family Medicine Physician
  • Hurst, TX
National Provider Identifier
1003134024
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIAGNOSTEX CONSULTANTS PLLC
Practice address
500 Grapevine Hwy
Ste. 106
Hurst, TX 76054-2707
Phone
(817) 514-6271
Fax
(817) 514-6278
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joan Elizabeth Baumer, M.D.
Title
Ceo
Phone
(817) 514-6271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

500 Grapevine Hwy
Ste. 106
Hurst, TX 76054-2707

Mailing address

500 Grapevine Hwy
Ste. 106
Hurst, TX 76054-2707
Phone (817) 514-6271

Other identifiers 1

IdentifierTypeStateIssuer
2187599301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101227000767 TX Part B Supplier - Clinic/Group Practice 0648468173 Receives reassigned benefits from 8 practitioners
Practice locations: North Richland Hills, TX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8913 Mid Cities Blvd
Ste 100
North Richland Hills, TX 76182
Phone (817) 514-6271

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1003134024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GRAPEVINE HWY",
            "address_2": "STE. 106",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542707",
            "telephone_number": "817-514-6271",
            "fax_number": "817-514-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRAPEVINE HWY",
            "address_2": "STE. 106",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542707",
            "telephone_number": "817-514-6271",
            "fax_number": "817-514-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTEX CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "BAUMER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-514-6271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187599301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.