Carrollton Medical Center

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

CARROLLTON MEDICAL CENTER

Practice address

1016 E Hebron Pkwy
Suite 170
Carrollton, TX 75010-1000

Phone

(972) 300-0600

Fax

(972) 300-0604

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob John Novak, MDNPI 1043336381

Title

President

Phone

(972) 899-6666

Specialties & licenses 1

Addresses

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.

• Jacob John Novak, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Flower Mound, TX
  • NPI 1043336381
  Authorized official Same address or phone

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225252950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961245",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76161",
            "telephone_number": "972-899-6650",
            "fax_number": "972-899-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E HEBRON PKWY",
            "address_2": "SUITE 170",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101000",
            "telephone_number": "972-300-0600",
            "fax_number": "972-300-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-899-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrollton First Care Medical Center PLLC
• Carrollton Foot Center, PLLC
• Carrollton Health Care Center LTD Co (The Madison on Marsh)
• Carrollton Injury Rehab
• Carrollton Kinesiology & Chiropractic Health Center
• Carrollton Modern Dentistry (Carrollton Modern Dentistry, PC)
• Carrollton Or Surgical Affiliates PLLC
• Carrollton Physical Therapy Clinic, PC. (Carrollton Physical Therapy and Work Hardening)
• Carrollton Podiatrist PLLC
• Carrollton Primary Care Medicine PLLC

• Emergency Care Clinic/Center in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.