Organization Active NPI

United Partners in Radiology

  • Neuroradiology Physician
  • Dallas, TX
National Provider Identifier
1487774717
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
H9077 Issued in TX
Legal business name
UNITED PARTNERS IN RADIOLOGY
Practice address
9090 Skillman St Ste 182a
PMB 371
Dallas, TX 75243-8278
Phone
(214) 358-1111
Fax
(972) 669-1557
NPI assigned
Mar 30, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. John D Fisk, M.D.
Title
Doctor
Phone
(214) 358-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X H9077 TX Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X H9077 TX

Addresses

Primary practice location

9090 Skillman St Ste 182a
PMB 371
Dallas, TX 75243-8278

Mailing address

9090 Skillman St # 182a
PMB 371
Dallas, TX 75243
Phone (214) 358-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

9090 Skillman St
Ste 182A
Dallas, TX 75243
Phone (214) 358-1111

2692 N Galloway Ave
Ste 101
Mesquite, TX 75150
Phone (972) 682-6655

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1487774717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 SKILLMAN ST # 182A",
            "address_2": "PMB 371",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-358-1111",
            "fax_number": "972-669-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 SKILLMAN ST STE 182A",
            "address_2": "PMB 371",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438278",
            "telephone_number": "214-358-1111",
            "fax_number": "972-669-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PARTNERS IN RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-358-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "H9077",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "H9077",
            "primary": false
        }
    ],
    "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 Dec 4, 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.