Active NPI
Pohn Paul Inthanousay, D.O.
- Family Medicine Physician
- Arlington, TX
National Provider Identifier
1245289495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J9103
- Practice address
- 4401 Little Rd
Suite 520
Arlington, TX 76016-5624 - Phone
- (817) 572-9890
- Fax
- (817) 572-9887
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J9103 | TX | Primary |
Addresses
Primary practice location
4401 Little Rd
Suite 520
Arlington, TX 76016-5624
Mailing address
4401 Little Rd
Suite 520
Arlington, TX 76016-5624
Phone (817) 572-9890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139893530 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Medical Center-Clarksville | Past | Accepting new patients | |
| E Care Emergency Frisco LLC | Past | Accepting new patients | |
| Red River Emergency Medicine Associates PA | Past | Accepting new patients | |
| Primamed Physicians PLLC | Past | Accepting new patients | |
| East Texas Medical Center Healthcare Associates | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Basic Emergency Medical Technician
- Frisco, TX
- NPI 1609823483
-
- Emergency Medicine Physician
- Tyler, TX
- NPI 1326082892
-
- Rural Acute Care Hospital
- Clarksville, TX
- NPI 1730114836
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1164494068
-
- Emergency Medicine Physician
- Clarksville, TX
- NPI 1326077041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1245289495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 LITTLE RD",
"address_2": "SUITE 520",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760165624",
"telephone_number": "817-572-9890",
"fax_number": "817-572-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 LITTLE RD",
"address_2": "SUITE 520",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760165624",
"telephone_number": "817-572-9890",
"fax_number": "817-572-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INTHANOUSAY",
"first_name": "POHN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J9103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139893530",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.