Organization Active NPI

Greater Southwest Medical Associates

  • Skilled Nursing Facility
  • Grapevine, TX
National Provider Identifier
1750632675
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
F0809323 Issued in TX
Legal business name
GREATER SOUTHWEST MEDICAL ASSOCIATES
Practice address
815 Ira E Woods Ave
200
Grapevine, TX 76051-4008
Phone
(817) 488-0100
Fax
(817) 488-4568
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Irby Hunter Jr., M.D.
Title
Administrator
Phone
(817) 488-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X F0809323 TX Primary

Addresses

Primary practice location

815 Ira E Woods Ave
200
Grapevine, TX 76051-4008

Mailing address

815 Ira E Woods Ave
200
Grapevine, TX 76051-4008
Phone (817) 488-0100

National Provider Directory

National Provider Directory
Tax ID family
Greater Southwest Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1750632675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 IRA E WOODS AVE",
            "address_2": "200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514008",
            "telephone_number": "817-488-0100",
            "fax_number": "817-488-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 IRA E WOODS AVE",
            "address_2": "200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514008",
            "telephone_number": "817-488-0100",
            "fax_number": "817-488-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SOUTHWEST MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "IRBY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-488-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "F0809323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.