North Central Texas Infectious Disease Group PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

NORTH CENTRAL TEXAS INFECTIOUS DISEASE GROUP PA

Practice address

650 Saint Louis Ave
Fort Worth, TX 76104-3346

Phone

(817) 921-1886

NPI assigned

Nov 30, 2011

Last updated

Oct 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Tomoye, DONPI 1326168386

Title

D.O./President

Phone

(817) 921-1886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Edward O. Tomoye, D.O., M.A.

  • Infectious Disease Physician
  • Greenville, TX
  • NPI 1326168386
  Medicare reassignment NPD Authorized official
• Carrie Lynn Park, APRN, FNP-BC, WCC

  • Family Nurse Practitioner
  • Euless, TX
  • NPI 1558966291
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1437426723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 N BURLESON BLVD",
            "address_2": "SUITE 107-235",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287011",
            "telephone_number": "817-921-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SAINT LOUIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043346",
            "telephone_number": "817-921-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL TEXAS INFECTIOUS DISEASE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "TOMOYE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "D.O./PRESIDENT",
        "authorized_official_telephone_number": "817-921-1886",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klacie Norris, RD
• Kyle Norris, MD
• Lashindra Joynelle Fisher Norris, NP
• Margaret M Norstebon, L.P.T.
• North Central Texas Home Care, Inc.
• Ame North Farmer, L.M.
• North Fort Worth Caregiving LLC (Cornerstone Caregiving)
• North Fort Worth Counseling, PLLC
• North Houston Lower Extremity Iom
• North Metro Plastic Surgery PLLC

• Infectious Disease Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.