Anis a Ansari MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J6857 Issued in TX

Legal business name

ANIS A ANSARI MD PA

Practice address

1948 E Hebron Pkwy Ste 110
Carrollton, TX 75007-1525

Phone

(972) 939-4646

Fax

(972) 939-6161

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Phil Groce

Title

Billing

Phone

(972) 939-4646

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1922205780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 E HEBRON PKWY STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071525",
            "telephone_number": "972-939-4646",
            "fax_number": "972-939-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 E HEBRON PKWY STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071525",
            "telephone_number": "972-939-4646",
            "fax_number": "972-939-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIS A ANSARI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "GROCE",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "972-939-4646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080327201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUS CROSS BLUE SHIELD",
            "identifier": "083250B01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.