Individual provider Active NPI

Garnett Stephon Payseur, MD

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1629127121
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E5202 Issued in TX
Practice address
9301 N Central Expy Ste 180
TWR II
Dallas, TX 75231-0821
Phone
(214) 253-0202
Fax
(214) 253-0203
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E5202 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 180
TWR II
Dallas, TX 75231-0821

Mailing address

9301 N Central Expy Ste 180
TWR II
Dallas, TX 75231-0821
Phone (214) 253-0202

Other identifiers 1

IdentifierTypeStateIssuer
0976490003MedicaidTX

Other names 1

  • G Stephon Payseur Other name

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1629127121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 180",
            "address_2": "TWR II",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310821",
            "telephone_number": "214-253-0202",
            "fax_number": "214-253-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 180",
            "address_2": "TWR II",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310821",
            "telephone_number": "214-253-0202",
            "fax_number": "214-253-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYSEUR",
        "first_name": "GARNETT",
        "middle_name": "STEPHON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E5202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0976490003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G",
            "last_name": "PAYSEUR",
            "middle_name": "STEPHON",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 6, 2016; 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.