Individual provider Active NPI

Nancy G Faigin, DO

  • Family Medicine Physician
  • Ft Worth, TX
National Provider Identifier
1245262484
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E4837 Issued in TX
Practice address
5703 West Creek Dr
Ft Worth, TX 76133-3395
Phone
(817) 294-0731
Fax
(817) 294-8065
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E4837 TX Primary

Addresses

Primary practice location

5703 West Creek Dr
Ft Worth, TX 76133-3395

Mailing address

5703 West Creek Dr
Ft Worth, TX 76133-3395
Phone (817) 294-0731

Other names 1

  • N G Faigin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126001187 TX Practitioner - General Practice 9830378785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E4837TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Al Faigin DO and N G Faigin DO LLP Family Medicine CurrentSince Oct 1, 1999 Accepting new patients

Locations

5703 Westcreek Dr
Ft Worth, TX 76133
Phone (817) 294-0731

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1245262484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 WEST CREEK DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761333395",
            "telephone_number": "817-294-0731",
            "fax_number": "817-294-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 WEST CREEK DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761333395",
            "telephone_number": "817-294-0731",
            "fax_number": "817-294-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIGIN",
        "first_name": "NANCY",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N",
            "last_name": "FAIGIN",
            "middle_name": "G",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.