Organization Active NPI

Southern Endocrinology Associates P.a

  • Endocrinology, Diabetes & Metabolism Physician
  • Mesquite, TX
National Provider Identifier
1790273753
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
N4457 Issued in TX
Legal business name
SOUTHERN ENDOCRINOLOGY ASSOCIATES P.A
Practice address
1621 N Belt Line Rd Ste a
Mesquite, TX 75149
Phone
(972) 806-1177
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Authorized official

Name
Dr. Youssef Shawki Hassan, MD
Title
Endocrinologist
Phone
(972) 806-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X N4457 TX Primary

Addresses

Primary practice location

1621 N Belt Line Rd Ste a
Mesquite, TX 75149

Mailing address

1621 N Belt Line Rd Ste a
Mesquite, TX 75149-1795
Phone (972) 806-1177

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABBDAA

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1790273753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N BELT LINE RD STE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491795",
            "telephone_number": "972-806-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N BELT LINE RD STE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "972-806-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ENDOCRINOLOGY ASSOCIATES P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_middle_name": "SHAWKI",
        "authorized_official_title_or_position": "ENDOCRINOLOGIST",
        "authorized_official_telephone_number": "972-806-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N4457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.