Organization Active NPI

G. Stephon Payseur M,D.P.a.

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1144370685
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E5202 Issued in TX
Legal business name
G. STEPHON PAYSEUR M,D.P.A.
Practice address
5959 Harry Hines Blvd
312
Dallas, TX 75235-6234
Phone
(214) 688-0515
Fax
(214) 688-0030
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Dr. Garnett Stephon Payseur, M.D.
Title
President
Phone
(214) 688-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X E5202 TX Primary

Addresses

Primary practice location

5959 Harry Hines Blvd
312
Dallas, TX 75235-6234

Mailing address

5959 Harry Hines Blvd
312
Dallas, TX 75235-6234
Phone (214) 688-0515

Other identifiers 1

IdentifierTypeStateIssuer
097649002MedicaidTX

Other names 1

  • Garnett S. Payser M.D.P.A Doing business as

National Provider Directory

National Provider Directory

Locations

5959 Harry Hines Blvd
Ste 312
Dallas, TX 75235
Phone (214) 688-0515

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1144370685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356234",
            "telephone_number": "214-688-0515",
            "fax_number": "214-688-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 HARRY HINES BLVD",
            "address_2": "312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356234",
            "telephone_number": "214-688-0515",
            "fax_number": "214-688-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. STEPHON PAYSEUR M,D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "PAYSEUR",
        "authorized_official_first_name": "GARNETT",
        "authorized_official_middle_name": "STEPHON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-688-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E5202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097649002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garnett S. Payser M.D.P.A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.