Organization Active NPI

Kathryn a. Pifer, D.O., P.a.

  • Family Medicine Physician
  • Colleyville, TX
National Provider Identifier
1013169788
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6754 Issued in TX
Legal business name
KATHRYN A. PIFER, D.O., P.A.
Practice address
4214 Gateway Dr
Suite 100
Colleyville, TX 76034-7906
Phone
(817) 354-7999
Fax
(817) 571-2140
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Kathryn A Pifer, D.O.NPI 1396845079
Title
Doctor
Phone
(817) 354-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G6754 TX Primary

Addresses

Primary practice location

4214 Gateway Dr
Suite 100
Colleyville, TX 76034-7906

Mailing address

4214 Gateway Dr
Suite 100
Colleyville, TX 76034-7906
Phone (817) 354-7999

Other names 1

  • Heritage Family Medicine and Aesthetics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Family Medicine and Aesthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1013169788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 GATEWAY DR",
            "address_2": "SUITE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347906",
            "telephone_number": "817-354-7999",
            "fax_number": "817-571-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 GATEWAY DR",
            "address_2": "SUITE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347906",
            "telephone_number": "817-354-7999",
            "fax_number": "817-571-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN A. PIFER, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "PIFER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-354-7999",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Family Medicine and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.