Arlington Neonatal Intensive Care PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

G3859 Issued in TX

Legal business name

ARLINGTON NEONATAL INTENSIVE CARE PA

Practice address

800 W Randol Mill Rd
Arlington, TX 76012-2504

Phone

(817) 548-6514

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Scott C TisdellNPI 1093769747

Title

Owner

Phone

(817) 548-6514

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Christopher Tisdell, MD

  • Neonatal-Perinatal Medicine Physician
  • Arlington, TX
  • NPI 1093769747
  NPD (past) Authorized official

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1770760928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120967",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760120967",
            "fax_number": "817-548-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122504",
            "telephone_number": "817-548-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON NEONATAL INTENSIVE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "TISDELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-548-6514",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G3859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00T08E",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlington Medical Clinic
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• Arlington Minor Emergency Clinic PA
• Arlington Minor Emergency Clinic, PA
• Arlington Modern Dentistry PC
• Arlington Nephrology PLLC
• Arlington Neurology Assoc
• Arlington Neurosurgical Association
• Arlington Observation Medicine Associates, PLLC
• Arlington Occupational and Medical Clinic

• Specialist in Arlington, TX
• Providers in Arlington, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.