Organization Active NPI

Al Faigin DO and N G Faigin DO LLP

Doing business as Wedgewood Family Health Associates

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1396868014
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E4836 Issued in TX
Legal business name
AL FAIGIN DO AND N G FAIGIN DO LLP
Doing business as
Wedgewood Family Health Associates
Practice address
5703 Westcreek Dr
Fort Worth, TX 76133-3301
Phone
(817) 294-0731
Fax
(817) 294-8065
NPI assigned
Apr 9, 2007
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Dr. Nancy G Faigin, D.O.NPI 1245262484
Title
Dr., Office Manager
Phone
(817) 294-0731

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X E4836 TX Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X E4837 TX

Addresses

Primary practice location

5703 Westcreek Dr
Fort Worth, TX 76133-3301

Mailing address

5703 Westcreek Dr
Fort Worth, TX 76133-3301
Phone (817) 294-0731

Other names 1

  • Wedgewood Family Health Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000996 TX Part B Supplier - Clinic/Group Practice 4082893938 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

5703 Westcreek Dr
Ft Worth, TX 76133
Phone (817) 294-0731

Practitioners & affiliated clinicians

Practitioners 2

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1396868014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 WESTCREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333301",
            "telephone_number": "817-294-0731",
            "fax_number": "817-294-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 WESTCREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333301",
            "telephone_number": "817-294-0731",
            "fax_number": "817-294-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL FAIGIN DO AND N G FAIGIN DO LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "FAIGIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DR., OFFICE MANAGER",
        "authorized_official_telephone_number": "817-294-0731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4836",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wedgewood Family Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 8, 2024; 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.