Organization Active NPI

Texas Premier Internal Medicine

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1194763383
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TEXAS PREMIER INTERNAL MEDICINE
Practice address
909A Medical Centre Dr
Arlington, TX 76012-4757
Phone
(817) 274-5580
Fax
(817) 274-5540
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Kusi Fordjour, M.D.
Title
Physician Owner
Phone
(817) 274-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

909A Medical Centre Dr
Arlington, TX 76012-4757

Mailing address

909A Medical Centre Dr
Arlington, TX 76012-4757
Phone (817) 274-5580

Other identifiers 1

IdentifierTypeStateIssuer
0082MWOtherTXBLUE CROSS BLUE SHEILD

Other names 1

  • Arlington Inpatient Physicians, P.A. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1194763383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909A MEDICAL CENTRE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124757",
            "telephone_number": "817-274-5580",
            "fax_number": "817-274-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909A MEDICAL CENTRE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124757",
            "telephone_number": "817-274-5580",
            "fax_number": "817-274-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PREMIER INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "FORDJOUR",
        "authorized_official_first_name": "KUSI",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "817-274-5580",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0082MW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Inpatient Physicians, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 30, 2007; 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.