Metro Geriatric Services PA

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

METRO GERIATRIC SERVICES PA

Practice address

2804 Fox Creek TRL
Arlington, TX 76017-7960

Phone

(817) 659-5395

Fax

(817) 439-6767

NPI assigned

Aug 9, 2012

Organization subpart

No

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

Authorized official

Name

Vijaya Sudanagunta, M.D.

Title

President

Phone

(817) 659-5393

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Jean Barnes, PA-C

  • Medical Physician Assistant
  • Grand Prairie, TX
  • NPI 1194046797
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1174870026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FOX CREEK TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760177960",
            "telephone_number": "817-659-5395",
            "fax_number": "817-439-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FOX CREEK TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760177960",
            "telephone_number": "817-659-5395",
            "fax_number": "817-439-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO GERIATRIC SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "SUDANAGUNTA",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-659-5393",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mesa Springs Physician Group LLC
• Kaustubh Sudhir Mestry, MD
• Linda S Metcalf, PHD
• Monique Metcalf
• Anne Metersky
• Metro Visiting Physician PLLC
• Metrocare Services
• Metroplex Dermatology Aesthetics, LLC
• Metroplex Dermatology, PLLC
• Metroplex Ekg

• Geriatric Medicine (Family Medicine) Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.