Active NPI
Joseph Obeng MD PA
- Internal Medicine Physician
- Fort Worth, TX
National Provider Identifier
1235409558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M0200
- Legal business name
- JOSEPH OBENG MD PA
- Practice address
- 908 9TH Ave
Suite a
Fort Worth, TX 76104-3904 - Phone
- (817) 870-1033
- Fax
- (817) 870-1038
- NPI assigned
- Jan 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Yaw Obeng, MD
- Title
- Medical Doctor
- Phone
- (817) 875-3346
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M0200 | TX | Primary |
Addresses
Primary practice location
908 9TH Ave
Suite a
Fort Worth, TX 76104-3904
Mailing address
908 9TH Ave
Suite a
Fort Worth, TX 76104-3904
Phone (817) 870-1033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1023075058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339027200000",
"number": "1235409558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 9TH AVE",
"address_2": "SUITE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043904",
"telephone_number": "817-870-1033",
"fax_number": "817-870-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 9TH AVE",
"address_2": "SUITE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043904",
"telephone_number": "817-870-1033",
"fax_number": "817-870-1038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH OBENG MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-03",
"last_updated": "2012-06-07",
"status": "A",
"authorized_official_last_name": "OBENG",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "YAW",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "817-875-3346",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "M0200",
"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 Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.