Advanced E.C.P., P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

L04659 Issued in TX

Legal business name

ADVANCED E.C.P., P.A.

Practice address

1650 W Rosedale St
Suite 206
Fort Worth, TX 76104-7400

Phone

(817) 877-0052

Fax

(817) 877-4103

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey M Flanegin

Title

President

Phone

(610) 831-1112

Specialties & licenses 1

Addresses

Tax ID family

Advanced Ecp PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Ecp, PA

  • Medical Specialty Clinic/Center
  • Windsor, CT
  • NPI 1447455944
  NPD tax ID

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1447206255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WATERSIDE XING",
            "address_2": "3RD FLOOR ATTN: KAREN FRISK , CONTRACTING",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951540",
            "telephone_number": "800-367-1095",
            "fax_number": "860-298-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "SUITE 206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-877-0052",
            "fax_number": "817-877-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED E.C.P., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "FLANEGIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-831-1112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L04659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Elaye Chinenye Aduwari, PHARMD
• Advanced Allergy & Asthma Associates
• Advanced Bone & Joint Care PLLC
• Advanced Choice Care
• Advanced Cosmetic Surgery Ctr WM K Miles MD PA
• Advanced Eye Care of Texas PLLC
• Advanced Glaucoma Diagnostic and Treatment Center, P.a.
• Advanced Hearing Aid Center
• Advanced Loving Home Care LLC
• Advanced Medical of North Texas PLLC

• Medical Specialty Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.