Active NPI
Stockyard Emergency Physicians PLLC
- Emergency Medicine Physician
- Fort Worth, TX
National Provider Identifier
1720279672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- STOCKYARD EMERGENCY PHYSICIANS PLLC
- Practice address
- 1800 Park Place Ave
Fort Worth, TX 76110-1302 - Phone
- (954) 939-5000
- NPI assigned
- Aug 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Vaughn
- Title
- Officer
- Phone
- (404) 450-4684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1800 Park Place Ave
Fort Worth, TX 76110-1302
Mailing address
PO Box 37646
Philadelphia, PA 19101-0646
Phone (800) 355-3818
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Arlington, TX
- NPI 1366549750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1720279672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37646",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191010646",
"telephone_number": "800-355-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PARK PLACE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101302",
"telephone_number": "954-939-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOCKYARD EMERGENCY PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "404-450-4684"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.