Organization Active NPI

Rhodesia N Lastrap DO PA

  • Obstetrics & Gynecology Physician
  • North Richland Hills, TX
National Provider Identifier
1043532187
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
RHODESIA N LASTRAP DO PA
Practice address
4375 Booth Calloway Rd
Suite 506
North Richland Hills, TX 76180-8359
Phone
(817) 590-2229
Fax
(817) 590-8181
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Dr. Rhodesia N Lastrap, DONPI 1255392692
Title
Owner
Phone
(817) 590-2229

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4375 Booth Calloway Rd
Suite 506
North Richland Hills, TX 76180-8359

Mailing address

4375 Booth Calloway Rd
Suite 506
North Richland Hills, TX 76180-8359
Phone (817) 590-2229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000295 TX Part B Supplier - Clinic/Group Practice 3971631235 Receives reassigned benefits from 1 practitioner
Practice locations: North Richland Hills, TX

National Provider Directory

National Provider Directory

Locations

4300 City Point Dr
Ste 202
North Richland Hills, TX 76180
Phone (817) 284-1152

4375 Booth Calloway Rd
Ste 506
North Richlnd Hls, TX 76180
Phone (817) 537-5000

Practitioners & affiliated clinicians

Practitioners 3

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": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1043532187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "SUITE 506",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-590-2229",
            "fax_number": "817-590-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "SUITE 506",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-590-2229",
            "fax_number": "817-590-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODESIA N LASTRAP DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "LASTRAP",
        "authorized_official_first_name": "RHODESIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-590-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.