NPIMap

Organization Active NPI

North Texas Anesthesiology,PLLC

  • Specialist
  • Denison, TX
National Provider Identifier
1003920828
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTH TEXAS ANESTHESIOLOGY,PLLC
Practice address
2402 W Morton St
Ste 146
Denison, TX 75020-1402
Phone
(903) 465-6043
Fax
(903) 463-4496
NPI assigned
Aug 18, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Javier Colon-Polanco, MDNPI 1427024470
Title
Doctor
Phone
(903) 465-6043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2402 W Morton St
Ste 146
Denison, TX 75020-1402

Mailing address

PO Box 1426
Denison, TX 75021-1426
Phone (903) 465-6043

Other identifiers 2

IdentifierTypeStateIssuer
00R73WOtherTXMD GRP PROV #
00C21NOtherTXCRNA GRP PROV #

National Provider Directory

National Provider Directory

Locations

2402 W Morton St
Ste 146
Denison, TX 75020
Phone (903) 465-7313

2402 W Morton St
Ste C
Denison, TX 75020

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1003920828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750211426",
            "telephone_number": "903-465-6043",
            "fax_number": "903-463-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W MORTON ST",
            "address_2": "STE 146",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201402",
            "telephone_number": "903-465-6043",
            "fax_number": "903-463-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS ANESTHESIOLOGY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "COLON-POLANCO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "903-465-6043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD GRP PROV #",
            "identifier": "00R73W",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA GRP PROV #",
            "identifier": "00C21N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.