Organization Active NPI

Blood and Marrow Transplant Services

  • Transplant Surgery Physician
  • Dallas, TX
National Provider Identifier
1346288925
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
Legal business name
BLOOD AND MARROW TRANSPLANT SERVICES
Practice address
3410 Worth Street, Ste 300
Dallas, TX 75246
Phone
(214) 370-1500
Fax
(214) 370-1512
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Jason D Shook
Title
Chief Operating Officer
Phone
(415) 205-4379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204F00000X Primary

Addresses

Primary practice location

3410 Worth Street, Ste 300
Dallas, TX 75246

Mailing address

PO Box 911955
Dallas, TX 75391-1955
Phone (214) 370-1500

Other identifiers 2

IdentifierTypeStateIssuer
29EMOtherBLUE CROSS OF TEXAS
30EMOtherBLUE CROSS OF TEXAS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1346288925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911955",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911955",
            "telephone_number": "214-370-1500",
            "fax_number": "214-370-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH STREET, STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "214-370-1500",
            "fax_number": "214-370-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOD AND MARROW TRANSPLANT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "415-205-4379"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "29EM",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "30EM",
            "state": null
        }
    ],
    "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 Aug 21, 2024; 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.