Organization Active NPI

Methodist Transplant Physicians

  • Transplant Surgery Physician
  • Dallas, TX
National Provider Identifier
1003868241
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
Legal business name
METHODIST TRANSPLANT PHYSICIANS
Practice address
1411 N Beckley Ave
Pav III Ste#268
Dallas, TX 75203-1259
Phone
(214) 947-4400
Fax
(214) 947-4404
NPI assigned
May 16, 2006
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Shelley Colon
Title
Director of Business Operations
Phone
(214) 947-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204F00000X Primary

Addresses

Primary practice location

1411 N Beckley Ave
Pav III Ste#268
Dallas, TX 75203-1259

Mailing address

1411 N Beckley Ave
Pav III Ste#268
Dallas, TX 75203-1259
Phone (214) 947-4400

Other identifiers 2

IdentifierTypeStateIssuer
00Y225OtherTXMEDICARE
156924602MedicaidTX

National Provider Directory

National Provider Directory

Locations

1411 N Beckley Ave
Ste 2
Dallas, TX 75203

221 W Colorado Blvd
Ste 438
Dallas, TX 75208

221 W Colorado Blvd
Ste 535
Dallas, TX 75208
Phone (214) 947-4440

3000 Blackburn St
Ste 130
Dallas, TX 75204
Phone (214) 599-8624

914 Lipscomb St
Unit A
Ft Worth, TX 76104
Phone (817) 348-0744

2405 Broadway
Lubbock, TX 79401
Phone (806) 799-3644

6957 W Plano Pkwy
Ste 240
Plano, TX 75093

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1003868241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAV III STE#268",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-947-4400",
            "fax_number": "214-947-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAV III STE#268",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-947-4400",
            "fax_number": "214-947-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST TRANSPLANT PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "214-947-4420"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00Y225",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156924602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.