Active NPI
Diamond Hill Medical Center, PA
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1104037605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon Barton Spain, D.O
- Title
- Medical Director
- Phone
- (817) 624-3211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
2223 N E 28TH St
Fort Worth, TX 76106
Phone (817) 624-3211
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.