GHM Medical Clinic

Primary specialty

Pain Management Registered NurseTaxonomy code 163WP0000X

License

NO195793 Issued in TX

Legal business name

GHM MEDICAL CLINIC

Practice address

211 W 10TH St
Suite B
Dallas, TX 75208-4533

Phone

(404) 644-3410

Fax

(877) 748-3269

NPI assigned

Jun 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Demitrious Gilmore, D.C.

Title

Chiropractor

Phone

(404) 644-3410

Specialties & licenses 2

Addresses

Tax ID family

GHM Medical Clinic2 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.

• Tig Healthcare and Diagnostic Clinic Inc.

  • Health Service Clinic/Center
  • Houston, TX
  • NPI 1558605667
  NPD tax ID

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1841638863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 10TH ST",
            "address_2": "SUITE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084533",
            "fax_number": "877-748-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 10TH ST",
            "address_2": "SUITE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084533",
            "telephone_number": "404-644-3410",
            "fax_number": "877-748-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHM MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "DEMITRIOUS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "404-644-3410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "11705",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": "TX",
            "license": "NO195793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran G Ghesani, DPT
• Sadia Ghias Rehman, M.D.
• Lorraine A Ghidoni, M.D.
• Daniel Feshatsion Ghirmay
• Maurizio Lorenzo Ghisoli, M.D.
• Neda Ghobadi
• Vidisha Ghole
• Kayvon Seyed Ghoreshi
• Lina Ahmad Ghory, M.D.
• Zara Ghory

• Registered Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.