NPIMap

Organization Active NPI

Phoenix ER Docs LLC

Doing business as Phoenix ER Docs

  • Emergency Care Clinic/Center
  • Coppell, TX
National Provider Identifier
1063652444
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
PHOENIX ER DOCS LLC
Doing business as
Phoenix ER Docs
Practice address
270 N Denton Tap Rd
Suite 250
Coppell, TX 75019-2144
Phone
(972) 745-7601
NPI assigned
Feb 25, 2009
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Charles O'Hearn, M.D.
Title
President
Phone
(972) 745-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X NU Primary

Addresses

Primary practice location

270 N Denton Tap Rd
Suite 250
Coppell, TX 75019-2144

Mailing address

270 N Denton Tap Rd
Suite 250
Coppell, TX 75019-2144
Phone (972) 745-7601

Other names 1

  • Phoenix ER Docs Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1063652444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N DENTON TAP RD",
            "address_2": "SUITE 250",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192144",
            "telephone_number": "972-745-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N DENTON TAP RD",
            "address_2": "SUITE 250",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192144",
            "telephone_number": "972-745-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ER DOCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "O'HEARN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-745-7601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix ER Docs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.