Northwest Dallas Family Medical Association, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHWEST DALLAS FAMILY MEDICAL ASSOCIATION, P.A.

Doing business as

Patient Place

Practice address

3464 Webb Chapel Ext
Dallas, TX 75220-6751

Phone

(214) 528-4053

Fax

(214) 528-4056

NPI assigned

May 26, 2006

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James W. Blamer

Title

Coo

Phone

(214) 333-7333

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Patient Place Doing business as

Locations

Practitioners 5

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.

• Andrea Y Dennis, F.N.P.

  • Nurse Practitioner
  • Carrollton, TX
  • NPI 1538106588

  Family

  NPD (past)
• Julie L Pearson, PA

  • Physician Assistant
  • Bedford, TX
  • NPI 1902950975
  NPD (past)
• Samuel Tedford Remer, D.O.

  • General Practice Physician
  • Dallas, TX
  • NPI 1760415780
  NPD (past)
• Idalupe Wishon, PAC

  • Physician Assistant
  • Irving, TX
  • NPI 1710178017
  NPD (past)
• Pedro T Zevallos, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1891729091
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1659327773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 WEBB CHAPEL EXT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752206751",
            "telephone_number": "214-528-4053",
            "fax_number": "214-528-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 WEBB CHAPEL EXT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752206751",
            "telephone_number": "214-528-4053",
            "fax_number": "214-528-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DALLAS FAMILY MEDICAL ASSOCIATION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "BLAMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "214-333-7333"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130084003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.