NPIMap

Organization Active NPI

Kingsbrook Jewish Medical Center

  • Critical Access Hospital
  • Colleyville, TX
National Provider Identifier
1669613105
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
KINGSBROOK JEWISH MEDICAL CENTER
Practice address
1404 Savoy CT
Colleyville, TX 76034-6267
Phone
(682) 365-3371
NPI assigned
Mar 12, 2009
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Yue-Qing Tan, MD
Title
Resident
Phone
(682) 365-3371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

1404 Savoy CT
Colleyville, TX 76034-6267

Mailing address

1404 Savoy CT
Colleyville, TX 76034-6267
Phone (682) 365-3371

National Provider Directory

National Provider Directory
Tax ID family
Kingsbrook Jewish Med Ctr7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1669613105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SAVOY CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346267",
            "telephone_number": "682-365-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SAVOY CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346267",
            "telephone_number": "682-365-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBROOK JEWISH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "YUE-QING",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "682-365-3371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.