Organization Active NPI

Cla Physicians Group Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dallas, TX
National Provider Identifier
1285145532
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
K5159 Issued in TX
Legal business name
CLA PHYSICIANS GROUP INC
Practice address
17110 Dallas Pkwy Ste 105
Dallas, TX 75248-1146
Phone
(972) 483-5714
Fax
(469) 331-0097
NPI assigned
Oct 13, 2017
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Mr. Joachim Coleman FiihrNPI 1366732976
Title
Ceo
Phone
(469) 667-6122

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X K5159 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X K5159 TX Primary

Addresses

Primary practice location

17110 Dallas Pkwy Ste 105
Dallas, TX 75248-1146

Mailing address

17110 Dallas Pkwy Ste 105
Dallas, TX 75248-1146
Phone (972) 483-5714

Other practice location 1

2701 S Hampton Rd Ste 202A
Dallas, TX 75224-2363
Phone (972) 483-5714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180622000050 TX Part B Supplier - Clinic/Group Practice 6709131352 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

17950 Preston Rd
Ste 750
Dallas, TX 75252

2701 S Hampton Rd
Ste 201A
Dallas, TX 75224

2701 S Hampton Rd
Ste 202
Dallas, TX 75224
Phone (972) 483-5714

2701 S Hampton Rd
Ste 202A
Dallas, TX 75224
Phone (972) 483-5714

Practitioners & affiliated clinicians

Practitioners 4

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": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1285145532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481146",
            "telephone_number": "972-483-5714",
            "fax_number": "469-331-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481146",
            "telephone_number": "972-483-5714",
            "fax_number": "469-331-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 S Hampton Rd Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752242363",
            "country_code": "US",
            "telephone_number": "972-483-5714",
            "fax_number": "469-331-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLA PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "FIIHR",
        "authorized_official_first_name": "JOACHIM",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-667-6122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "K5159",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "K5159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.

Verify at the official NPI Registry.