Organization Active NPI

Hickory Trail Hospital, L.P.

Doing business as Hickory Trail Hospital

  • Behavioral Neurology & Neuropsychiatry Physician
  • Desoto, TX
National Provider Identifier
1467965905
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
HICKORY TRAIL HOSPITAL, L.P.
Doing business as
Hickory Trail Hospital
Practice address
2000 Old Hickory TRL
Desoto, TX 75115-2242
Phone
(972) 298-7323
NPI assigned
Nov 7, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Steve Filton
Title
VP
Phone
(610) 768-3482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X TX Primary

Addresses

Primary practice location

2000 Old Hickory TRL
Desoto, TX 75115-2242

Mailing address

2000 Old Hickory TRL
Desoto, TX 75115-2242

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherMEDICARE PART B

Other names 1

  • Hickory Trail Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hickory Trail Hospital LP2 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.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1467965905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OLD HICKORY TRL",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLD HICKORY TRL",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152242",
            "telephone_number": "972-298-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY TRAIL HOSPITAL, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-768-3482"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Trail Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.