Active NPI
Douglas David Lorimer, M.D.
- Surgery Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E6482
- Practice address
- 5450 Clearfork Main St Ste 420
Fort Worth, TX 76109-3559 - Phone
- (817) 334-1465
- Fax
- (817) 422-0857
- NPI assigned
- May 1, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E6482 | TX | Primary |
Addresses
Primary practice location
5450 Clearfork Main St Ste 420
Fort Worth, TX 76109-3559
Mailing address
5450 Clearfork Main St Ste 420
Fort Worth, TX 76109-3559
Phone (817) 334-1465
Other practice location 1
800 5th Ave
Suite 300
Fort Worth, TX 76104-7300
Phone (817) 334-1400
Other practice location 2
5450 Clearfork Main St
Fort Worth, TX 76109-3559
Phone (817) 334-1465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099703304 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6482 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas PLLC | Current | Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Current | Accepting new patients |
Locations
809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133
5450 Clearfork Main St
Ste 420
Fort Worth, TX 76109
Phone (817) 334-1465
800 5th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 334-1400
900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
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- NPI 1033167234
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- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1356308571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 CLEARFORK MAIN ST STE 420",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761093559",
"telephone_number": "817-334-1465",
"fax_number": "817-422-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 CLEARFORK MAIN ST STE 420",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761093559",
"telephone_number": "817-334-1465",
"fax_number": "817-422-0857"
}
],
"practiceLocations": [
{
"address_1": "800 5th Ave",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761047300",
"country_code": "US",
"telephone_number": "817-334-1400",
"fax_number": "817-334-1410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5450 Clearfork Main St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761093559",
"country_code": "US",
"telephone_number": "817-334-1465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORIMER",
"first_name": "DOUGLAS",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "E6482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099703304",
"state": "TX"
}
],
"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 Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.