North Hills Family Practice, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH HILLS FAMILY PRACTICE, PA

Doing business as

North Hills Family Medicine

Practice address

4351 Booth Calloway Rd
Suite 101
North Richland Hills, TX 76180-7378

Phone

(817) 284-1165

Fax

(817) 284-4990

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Susan Gauwain

Title

Administrative Assistant

Phone

(817) 284-6912

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• North Hills Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

North Hills Family Medicine2 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.

• North Hills Family Practice

  • Family Medicine Physician
  • Keller, TX
  • NPI 1538285143
  NPD tax ID

Locations

Practitioners 8

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

• Maria Eugenia Canci, MD

  • Family Medicine Physician
  • North Richland Hills, TX
  • NPI 1033787148
  Medicare reassignment Care Compare group NPD
• Gregory Michael Fuller, M.D.

  • Family Medicine Physician
  • North Richland Hills, TX
  • NPI 1356347306
  Medicare reassignment Care Compare group NPD
• John D Gabriel, MD

  • Family Medicine Physician
  • North Richland Hills, TX
  • NPI 1407844764
  Medicare reassignment Care Compare group NPD
• Joseph O Lambert, MD

  • Family Medicine Physician
  • North Richland Hills, TX
  • NPI 1114915493
  Medicare reassignment Care Compare group NPD
• Pamela Brooke Martin, MD

  • Family Medicine Physician
  • Keller, TX
  • NPI 1013905306
  Medicare reassignment Care Compare group NPD
• Matthew Nguyen, MD

  • Family Medicine Physician
  • Prosper, TX
  • NPI 1710540174
  Medicare reassignment NPD
• Tracy Starnes, FNP-BC

  • Family Nurse Practitioner
  • Keller, TX
  • NPI 1649413261
  Medicare reassignment NPD
• Justin Victor Bartos III, M.D.

  • Family Medicine Physician
  • Bedford, TX
  • NPI 1720087349
  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1831251271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD",
            "address_2": "SUITE 101",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807378",
            "telephone_number": "817-284-1165",
            "fax_number": "817-284-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD",
            "address_2": "SUITE 101",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807378",
            "telephone_number": "817-284-1165",
            "fax_number": "817-284-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HILLS FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "GAUWAIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "817-284-6912",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE- DR FULLER",
            "identifier": "H8646",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE-DR GABRIEL",
            "identifier": "F1559",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE-DR LAMBERT",
            "identifier": "K1233",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE-DR MARTIN",
            "identifier": "L8368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Hills Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Hills Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Njie, APRN PMHNP-BC
• Nobility Healthcare Group
• Matthew Nolan
• North Hills Childrens Clinic
• North Hills Chiropractic Series LLC
• North Hills OB/GYN Associates
• North Hills Orthopaedic Surgeons, PLLC
• North Texas Clinic & Rehabilitation Center, P.a.
• North Texas Kidney Care Associates, PA
• North Texas Kidney Disease Associates

• Family Medicine Physician in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.