NPIMap

Organization Active NPI

Citimed, P.a.

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1487823316
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9103 Issued in TX
Legal business name
CITIMED, P.A.
Practice address
4401 Little Rd Ste 520
Arlington, TX 76016-5621
Phone
(817) 572-9890
Fax
(817) 572-9887
NPI assigned
Feb 25, 2008
Last updated
Jun 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Dr. Pohn Paul Inthanousay, D.O.NPI 1245289495
Title
Owner
Phone
(817) 572-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J9103 TX Primary

Addresses

Primary practice location

4401 Little Rd Ste 520
Arlington, TX 76016-5621

Mailing address

4401 Little Rd Ste 520
Arlington, TX 76016-5621
Phone (817) 572-9890

National Provider Directory

National Provider Directory

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

Practitioners & affiliated clinicians

Practitioners 158

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.

View all 158

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1487823316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 LITTLE RD STE 520",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165621",
            "telephone_number": "817-572-9890",
            "fax_number": "817-572-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 LITTLE RD STE 520",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165621",
            "telephone_number": "817-572-9890",
            "fax_number": "817-572-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIMED, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "INTHANOUSAY",
        "authorized_official_first_name": "POHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-572-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.