Organization Active NPI

Columbia Medical Center of Arlington Subsidiary LP

Doing business as Medical City Arlington House Providers

  • Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1356990089
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP
Doing business as
Medical City Arlington House Providers
Practice address
3301 Matlock Rd
Arlington, TX 76015-2908
Phone
(817) 465-3241
NPI assigned
Sep 5, 2019
Last updated
Sep 5, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Jeff Ardemagni
Title
Cfo
Phone
(682) 509-6009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

3301 Matlock Rd
Arlington, TX 76015-2908

Mailing address

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (817) 465-3241

Other names 1

  • Medical City Arlington House Providers Doing business as

National Provider Directory

National Provider Directory
Part of
Columbia Medical Center of Arlington Subsidiary LP

Locations

3201 Matlock Rd
Ste 110
Arlington, TX 76015
Phone (817) 375-9357

515 W Mayfield Rd
Ste 118
Arlington, TX 76014
Phone 81746532411193

1670 E Broad St
Ste 104
Mansfield, TX 76063
Phone (817) 473-3901

317 E Ovilla Rd
Red Oak, TX 75154
Phone (469) 820-6080

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": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1356990089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152908",
            "telephone_number": "817-465-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152908",
            "telephone_number": "817-465-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "ARDEMAGNI",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "682-509-6009"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical City Arlington House Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 5, 2019; 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.