Fort Worth Digestive Associates

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

FORT WORTH DIGESTIVE ASSOCIATES

Practice address

1650 W Rosedale St
Suite 302
Fort Worth, TX 76104-7400

Phone

(817) 885-7888

Fax

(817) 885-7811

NPI assigned

May 15, 2006

Last updated

Oct 23, 2007By 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

Shahid Aziz, DONPI 1588616205

Title

Owner

Phone

(817) 885-7888

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Shahid Aziz, DO

  • Gastroenterology Physician
  • Portage, MI
  • NPI 1588616205
  NPD (past) Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1235180035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470294",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761470294",
            "telephone_number": "817-885-7888",
            "fax_number": "817-885-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "SUITE 302",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-885-7888",
            "fax_number": "817-885-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH DIGESTIVE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-885-7888",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0074MU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD9949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.