Organization Active NPI

Lumanda, PA

Doing business as Belknap Medical Center

  • Family Medicine Physician
  • Haltom City, TX
National Provider Identifier
1215161005
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA01218 Issued in TX
Legal business name
LUMANDA, PA
Doing business as
Belknap Medical Center
Practice address
4010 E Belknap St
Haltom City, TX 76111-6609
Phone
(817) 831-4300
Fax
(817) 831-4306
NPI assigned
May 7, 2009
Last updated
Jul 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Michael Njotu, PANPI 1679795900
Title
Administrator
Phone
(817) 831-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA01218 TX Primary

Addresses

Primary practice location

4010 E Belknap St
Haltom City, TX 76111-6609

Mailing address

4010 E Belknap St
Haltom City, TX 76111-6609
Phone (817) 831-4300

Other names 1

  • BELKNAP MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1215161005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 E BELKNAP ST",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116609",
            "telephone_number": "817-831-4300",
            "fax_number": "817-831-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 E BELKNAP ST",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116609",
            "telephone_number": "817-831-4300",
            "fax_number": "817-831-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMANDA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "NJOTU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-831-4300",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA01218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELKNAP MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haltom City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.