Individual provider Active NPI

Roderick Mathew Nugent, M. D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
National Provider Identifier
1467629709
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D-4249 Issued in TX
Practice address
11508 Royalshire Dr
Dallas, TX 75230-2914
Phone
(214) 365-9417
Fax
(214) 365-8095
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D-4249 TX Primary

Addresses

Primary practice location

11508 Royalshire Dr
Dallas, TX 75230-2914

Mailing address

11508 Royalshire Dr
Dallas, TX 75230-2914
Phone (214) 365-9417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D-4249TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Pathology Associates LTD Anatomic Pathology & Clinical Pathology Past Accepting new patients
Amarillo Pathology Group, LLP Anatomic Pathology & Clinical Pathology Past Accepting new patients
Physicians Preferred Laboratory LTD Past Accepting new patients
Amarillo Pathology Group Clinical LLP Anatomic Pathology & Clinical Pathology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1467629709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11508 ROYALSHIRE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302914",
            "telephone_number": "214-365-9417",
            "fax_number": "214-365-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11508 ROYALSHIRE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302914",
            "telephone_number": "214-365-9417",
            "fax_number": "214-365-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "RODERICK",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "D-4249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.