Active NPI
Diamond Hill Medical Center, PA
- Family Medicine Physician
- Fort Worth, TX
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
- Last updated
- Sep 22, 2011
- 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
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) | 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
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.
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1053399311
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.