Organization Active NPI

Maclin Family Medicine PLLC

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1124338785
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3738 Issued in TX
Legal business name
MACLIN FAMILY MEDICINE PLLC
Practice address
1521 N Cooper St Ste 213
Arlington, TX 76011-5522
Phone
(877) 288-7968
Fax
(754) 218-0975
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Dr. Rowena Maclin, D.O.NPI 1316936941
Title
President
Phone
(877) 288-7968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X L3738 TX Primary

Addresses

Primary practice location

1521 N Cooper St Ste 213
Arlington, TX 76011-5522

Mailing address

6800 Manhattan Blvd BLDG 1
Ste 101
Fort Worth, TX 76120-1200
Phone (817) 457-7200

Other practice location 1

6800 Manhattan Blvd Bldg 1
Ste 101
Fort Worth, TX 76120-1200
Phone (817) 457-7200

Other identifiers 1

IdentifierTypeStateIssuer
1316936941MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110603000491 TX Part B Supplier - Clinic/Group Practice 2062699887 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX; Duncanville, TX

National Provider Directory

National Provider Directory

Locations

1521 N Cooper St
Ste 213
Arlington, TX 76011
Phone (817) 891-8249

6800 Manhattan Blvd
Ste 101
Fort Worth, TX 76120
Phone (817) 457-7200

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1124338785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 MANHATTAN BLVD BLDG 1",
            "address_2": "STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761201200",
            "telephone_number": "817-457-7200",
            "fax_number": "817-457-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N COOPER ST STE 213",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115522",
            "telephone_number": "877-288-7968",
            "fax_number": "754-218-0975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Manhattan Blvd Bldg 1",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761201200",
            "country_code": "US",
            "telephone_number": "817-457-7200",
            "fax_number": "817-457-7258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MACLIN FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "MACLIN",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-288-7968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316936941",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.