Individual provider Active NPI

Shawn D Parsley, DO

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1053344580
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9257 Issued in TX
Practice address
6100 Lake Worth Blvd
Fort Worth, TX 76135-3703
Phone
(817) 237-3321
Fax
(817) 237-7970
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J9257 TX Primary

Addresses

Primary practice location

6100 Lake Worth Blvd
Fort Worth, TX 76135-3703

Mailing address

6100 Lake Worth Blvd
Fort Worth, TX 76135-3703
Phone (817) 237-3321

Other identifiers 3

IdentifierTypeStateIssuer
046236802MedicaidTX
046236805MedicaidTX
046236803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000317 TX Practitioner - Family Practice 0840249546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

9250 Amberton Pkwy
Dallas, TX 75243
Phone (214) 860-6300

8160 Walnut Hill Ln
Ste 113
Dallas, TX 75231
Phone (214) 345-7374

6100 Lake Worth Blvd
Lake Worth, TX 76135
Phone (817) 237-3321

Interoperability endpoints

  • Direct secure messaging: sparsley197099@direct.texashealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1053344580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LAKE WORTH BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353703",
            "telephone_number": "817-237-3321",
            "fax_number": "817-237-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE WORTH BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353703",
            "telephone_number": "817-237-3321",
            "fax_number": "817-237-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSLEY",
        "first_name": "SHAWN",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046236802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046236805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046236803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.