Organization Active NPI

Methodist OB GYN PLLC

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1023377496
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
TXJ9954 Issued in TX
Legal business name
METHODIST OB GYN PLLC
Practice address
221 W Colorado Blvd Ste 728
Dallas, TX 75208-2357
Phone
(214) 941-0100
Fax
(214) 941-7024
NPI assigned
May 4, 2012
Last updated
Dec 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Dr. Jorge A. Arzac, M.D.NPI 1306823661
Title
MBR
Phone
(214) 941-0100

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
Obstetrics & Gynecology Physician 207V00000X TXJ9954 TX Primary

Addresses

Primary practice location

221 W Colorado Blvd Ste 728
Dallas, TX 75208-2357

Mailing address

221 W Colorado Blvd Ste 728
Dallas, TX 75208-2357
Phone (214) 941-0100

Other identifiers 1

IdentifierTypeStateIssuer
307930301MedicaidTX

National Provider Directory

National Provider Directory

Locations

221 W Colorado Blvd
Ste 728
Dallas, TX 75208
Phone (214) 941-0100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4274/brand/2/csg/22/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1023377496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 728",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082357",
            "telephone_number": "214-941-0100",
            "fax_number": "214-941-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 728",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082357",
            "telephone_number": "214-941-0100",
            "fax_number": "214-941-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST OB GYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "ARZAC",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "214-941-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "TXJ9954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307930301",
            "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 Dec 20, 2018; 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.