NPIMap

Organization Active NPI

Jay G. Beckwith, D.O., P.a.

  • Gastroenterology Physician
  • Fort Worth, TX
National Provider Identifier
1760653620
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D4711 Issued in TX
Legal business name
JAY G. BECKWITH, D.O., P.A.
Practice address
1051 Haskell St
208
Fort Worth, TX 76107-2649
Phone
(817) 737-3166
Fax
(817) 737-4881
NPI assigned
Mar 19, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Jay G Beckwith, D.O.NPI 1306946934
Title
Owner
Phone
(817) 737-3166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X D4711 TX Primary

Addresses

Primary practice location

1051 Haskell St
208
Fort Worth, TX 76107-2649

Mailing address

1051 Haskell St
208
Fort Worth, TX 76107-2649
Phone (817) 737-3166

National Provider Directory

National Provider Directory

Locations

1051 Haskell St
Ste 208
Fort Worth, TX 76107
Phone (817) 737-3166

Practitioners & affiliated clinicians

Practitioners 1

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1760653620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 HASKELL ST",
            "address_2": "208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072649",
            "telephone_number": "817-737-3166",
            "fax_number": "817-737-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 HASKELL ST",
            "address_2": "208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072649",
            "telephone_number": "817-737-3166",
            "fax_number": "817-737-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY G. BECKWITH, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-737-3166",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "D4711",
            "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 Jun 18, 2008; 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.