Individual provider Active NPI

Nathan Haslam, D.O

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1669885679
Registry record updated Aug 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R5563 Issued in TX
Practice address
13737 Noel Rd Ste 1500
Dallas, TX 75240
Phone
(214) 217-1931
NPI assigned
Jun 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OT016129 PA
Emergency Medicine Physician 207P00000X R5563 TX Primary

Addresses

Primary practice location

13737 Noel Rd Ste 1500
Dallas, TX 75240

Mailing address

13737 Noel Rd Ste 1500
Dallas, TX 75240-1331
Phone (480) 204-3673

Other practice location 1

1793 W 42nd St
Erie, PA 16509-1143
Phone (480) 204-3673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180824000565 TX Practitioner - Emergency Medicine 6608096417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Nov 13, 2022 Accepting new patients
Questcare Medical Services PLLC Emergency Medicine CurrentSince Nov 13, 2022 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

13172 Highway 287
Haslet, TX 76052
Phone (682) 703-4410

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1669885679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "480-204-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "214-217-1931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1793 W 42nd St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165091143",
            "country_code": "US",
            "telephone_number": "480-204-3673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASLAM",
        "first_name": "NATHAN",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT016129",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R5563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.