NPIMap

Organization Active NPI

Professional Emergency Service Association of Irving

  • Occupational Medicine Clinic/Center
  • Irving, TX
National Provider Identifier
1669465159
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF IRVING
Practice address
2233 E Grauwyler Rd Ste 110
Irving, TX 75061-3239
Phone
(972) 659-1234
Fax
(972) 257-9748
NPI assigned
Aug 30, 2005
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Gregory P. Ennis, M.D.NPI 1619092228
Title
Medical Director
Phone
(972) 659-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X TX Primary

Addresses

Primary practice location

2233 E Grauwyler Rd Ste 110
Irving, TX 75061-3239

Mailing address

PO Box 153068
Irving, TX 75015-3068
Phone (972) 659-1234

Other names 1

  • EcCare Health Center of Irving Other name

National Provider Directory

National Provider Directory

Locations

2001 W Airport Fwy
Ste 105
Irving, TX 75062
Phone (972) 659-1234

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1669465159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153068",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750153068",
            "telephone_number": "972-659-1234",
            "fax_number": "972-827-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 E GRAUWYLER RD STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750613239",
            "telephone_number": "972-659-1234",
            "fax_number": "972-257-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF IRVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-659-1234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EcCare Health Center of Irving",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.