Active NPI
Henry P Lobstein, M.D.
- Cardiovascular Disease Physician
- Fort Worth, TX
National Provider Identifier
1104876879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D3317
- Practice address
- 1017 12TH Ave
Fort Worth, TX 76104-3915 - Phone
- (817) 334-2800
- Fax
- (817) 336-1954
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D3317 | TX | Primary |
| Interventional Cardiology Physician | 207RI0011X | D3317 | TX |
Addresses
Primary practice location
1017 12TH Ave
Fort Worth, TX 76104-3915
Mailing address
1017 12TH Ave
Fort Worth, TX 76104-3915
Phone (817) 334-2800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4110720 | Other | AETNA PROVIDER ID | |
| 86463K | Other | TX | BCBS |
| 1386534-10 | Medicaid | TX | |
| 10013094 | Other | TX | AMERIGROUP |
| 1386534-02 | Medicaid | TX |
Other names 1
- Dr. Henry Philen Lobstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3317 | TX | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1104876879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 12TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043915",
"telephone_number": "817-334-2800",
"fax_number": "817-336-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 12TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043915",
"telephone_number": "817-334-2800",
"fax_number": "817-336-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBSTEIN",
"first_name": "HENRY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "D3317",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "D3317",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "4110720",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86463K",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386534-10",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10013094",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386534-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HENRY",
"last_name": "LOBSTEIN",
"middle_name": "PHILEN",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.