Active NPI
Physician Associates of Southwest Dallas
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1619109188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS
- Practice address
- 3500 W Wheatland Rd
Dallas, TX 75237-3460 - Phone
- (214) 947-5400
- Fax
- (214) 947-5476
- NPI assigned
- Aug 18, 2009
- Last updated
- Jul 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lynn Hope
- Title
- Managed Care Coordinator
- Phone
- (214) 947-5449
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | ||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Gastroenterology Physician | 207RG0100X | NU | ||
| Nephrology Physician | 207RN0300X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Maternal & Fetal Medicine Physician | 207VM0101X | NU | ||
| Surgery Physician | 208600000X | NU |
Addresses
Primary practice location
3500 W Wheatland Rd
Dallas, TX 75237-3460
Mailing address
3500 W Wheatland Rd
Attn: Lynn Hope
Dallas, TX 75237-3460
Phone (214) 947-5449
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156122702 | Medicaid | TX | |
| 156122701 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Physician Assoc of SW Dallas
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Sunnyvale, TX
- NPI 1629016159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341187200000",
"number": "1619109188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 W WHEATLAND RD",
"address_2": "ATTN: LYNN HOPE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373460",
"telephone_number": "214-947-5449",
"fax_number": "214-947-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 W WHEATLAND RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373460",
"telephone_number": "214-947-5400",
"fax_number": "214-947-5476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-18",
"last_updated": "2012-07-02",
"status": "A",
"authorized_official_last_name": "HOPE",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
"authorized_official_telephone_number": "214-947-5449",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156122702",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156122701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Phycare Services Inc
- Physiatry Associates of Texas PLLC
- Physicain Geriatric Services PA
- Physician Anesthesiology Services, PA
- Physician Assistant Services of Texas L.L.P
- Physician Associates of Southwest Dallas
- Physician House Calls of Texas LLC (AllianceCare)
- Physician House Calls of Texas LLC (AllianceCare)
- Physician House Calls of Texas LLC (AllianceCare)
- Physicians and Allied Health Professionals Group, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.