NPIMap

Organization Active NPI

Family Geriatrics PA

  • Geriatric Medicine (Family Medicine) Physician
  • North Richland Hills, TX
National Provider Identifier
1053584755
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
K1776 Issued in TX
Legal business name
FAMILY GERIATRICS PA
Practice address
5348 Davis Blvd
North Richland Hills, TX 76180-6824
Phone
(817) 605-1707
Fax
(817) 605-1710
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Margaret C Basiliadis, D.O.NPI 1639134380
Title
Owner
Phone
(817) 605-1707

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
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X K1776 TX Primary

Addresses

Primary practice location

5348 Davis Blvd
North Richland Hills, TX 76180-6824

Mailing address

PO Box 822426
North Richland Hills, TX 76182-2426
Phone (817) 605-1707

National Provider Directory

National Provider Directory

Locations

5340 Davis Blvd
Ste 106
North Richlnd Hls, TX 76180
Phone (800) 256-0268

Practitioners & affiliated clinicians

Practitioners 7

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1053584755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822426",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761822426",
            "telephone_number": "817-605-1707",
            "fax_number": "817-605-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 DAVIS BLVD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806824",
            "telephone_number": "817-605-1707",
            "fax_number": "817-605-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY GERIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "BASILIADIS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-605-1707",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K1776",
            "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 Oct 15, 2008; 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.