Organization Active NPI

Physicain Geriatric Services PA

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1902093602
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICAIN GERIATRIC SERVICES PA
Practice address
16135 Preston Rd Ste 130
Dallas, TX 75248-3584
Phone
(214) 724-8118
Fax
(214) 276-4129
NPI assigned
Sep 27, 2007
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Melvin E Harris, MDNPI 1710196431
Title
Physician
Phone
(214) 724-8118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

16135 Preston Rd Ste 130
Dallas, TX 75248-3584

Mailing address

16135 Preston Rd Ste 130
Dallas, TX 75248-3584
Phone (214) 724-8118

Other identifiers 1

IdentifierTypeStateIssuer
00N31FOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

16135 Preston Rd
Ste 130
Dallas, TX 75248
Phone (972) 233-9141

3010 LBJ
Ste 1275
Dallas, TX 75234
Phone (972) 243-8822

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1902093602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 PRESTON RD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483584",
            "telephone_number": "214-724-8118",
            "fax_number": "214-276-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 PRESTON RD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483584",
            "telephone_number": "214-724-8118",
            "fax_number": "214-276-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAIN GERIATRIC SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-724-8118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00N31F",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.