NPIMap

Organization Active NPI

JPS Hospital

  • Chronic Disease Hospital
  • Fort Worth, TX
National Provider Identifier
1225414501
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
56835 Issued in TX
Legal business name
JPS HOSPITAL
Practice address
4701 Bryant Irvin Rd N
Fort Worth, TX 76107-7627
Phone
(817) 702-7400
NPI assigned
Aug 10, 2015
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Patrick Sajous Simon, PHARMDNPI 1669848636
Title
Clinical Pharmacist
Phone
(817) 702-7400

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
Chronic Disease Hospital 281P00000X 56835 TX Primary

Addresses

Primary practice location

4701 Bryant Irvin Rd N
Fort Worth, TX 76107-7627

Mailing address

9424 Cresting Creek Dr
Apt 1122
Fort Worth, TX 76108-7021
Phone (305) 494-6364

National Provider Directory

National Provider Directory
Tax ID family
John Peter Smith Hosp D24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

4701 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 702-7400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1225414501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 CRESTING CREEK DR",
            "address_2": "APT 1122",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761087021",
            "telephone_number": "305-494-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BRYANT IRVIN RD N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077627",
            "telephone_number": "817-702-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SAJOUS",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST",
        "authorized_official_telephone_number": "817-702-7400",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "TX",
            "license": "56835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.