NPIMap

Organization Active NPI

Patrick T. Roughneen, M.D., P.a.

  • Specialist
  • Grapevine, TX
National Provider Identifier
1891908000
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J1480 Issued in TX
Legal business name
PATRICK T. ROUGHNEEN, M.D., P.A.
Practice address
1600 W College St
Suite 555
Grapevine, TX 76051-3580
Phone
(817) 552-1900
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Kimchi T Nguyen
Title
Office Manage
Phone
(817) 552-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J1480 TX Primary

Addresses

Primary practice location

1600 W College St
Suite 555
Grapevine, TX 76051-3580

Mailing address

1600 W College St
Suite 555
Grapevine, TX 76051-3580
Phone (817) 552-1900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1891908000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "SUITE 555",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "817-552-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "SUITE 555",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "817-552-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK T. ROUGHNEEN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIMCHI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGE",
        "authorized_official_telephone_number": "817-552-1900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.