Organization Active NPI

Diamond Hill Medical Center, PA

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1104037605
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIAMOND HILL MEDICAL CENTER, PA
Practice address
2223 NE 28TH St
Fort Worth, TX 76106-7478
Phone
(817) 624-3211
Fax
(817) 625-9835
NPI assigned
May 25, 2007
Last updated
Sep 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mr. Jon Barton Spain, D.ONPI 1053399311
Title
Medical Director
Phone
(817) 624-3211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2223 NE 28TH St
Fort Worth, TX 76106-7478

Mailing address

2223 NE 28TH St
Fort Worth, TX 76106-7478
Phone (817) 624-3211

National Provider Directory

National Provider Directory

Locations

2223 N E 28TH St
Fort Worth, TX 76106
Phone (817) 624-3211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1104037605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 NE 28TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761067478",
            "telephone_number": "817-624-3211",
            "fax_number": "817-625-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 NE 28TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761067478",
            "telephone_number": "817-624-3211",
            "fax_number": "817-625-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND HILL MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "SPAIN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-624-3211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.