Organization Active NPI

Omnihealth Physicians Group

  • Internal Medicine Physician
  • Bedford, TX
National Provider Identifier
1093282717
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OMNIHEALTH PHYSICIANS GROUP
Practice address
2700 Tibbets Dr Ste 210
Bedford, TX 76022-5928
Phone
(817) 649-9100
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Tiffanie Samuelson
Title
Billing Manager
Phone
(817) 778-9441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2700 Tibbets Dr Ste 210
Bedford, TX 76022-5928

Mailing address

2700 Tibbets Dr Ste 300
Bedford, TX 76022-5938

National Provider Directory

National Provider Directory

Locations

2700 Tibbets Dr
Ste 210
Bedford, TX 76022
Phone (817) 354-5600

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1093282717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR STE 300",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR STE 210",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225928",
            "telephone_number": "817-649-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIHEALTH PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-778-9441"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.