Metroplex Medlink PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E6497 Issued in TX

Legal business name

METROPLEX MEDLINK PA

Practice address

2000 North Old Hickory Trail
Desoto, TX 75115-7809

Phone

(972) 223-2760

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles E Mathis III, M.D.

Title

President

Phone

(972) 223-2760

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.

• Aaron Van Wright, MD

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1972688224

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1891816617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7736",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752090736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NORTH OLD HICKORY TRAIL",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157809",
            "telephone_number": "972-223-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX MEDLINK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-223-2760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E6497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "CK7013",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meridian Pharmacy Group NW Highway Inc
• Meridian Pharmacy Group NW Highway Inc
• Methodist Transitional Care Center-Desoto LLC
• Methodist-Cdi
• Metro Med Transportation
• Gladys Michieka, PA-C
• Micky Gautam, D.O., P.a.
• Mid-Cities Imaging, L.P.
• Midcities Medical Supply Dmepos
• Ella Marie Miles, L.V.N.,B.B.A.

• All providers in Desoto, TX
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.