Active NPI
Family Health of Grapevine, PA
- Internal Medicine Physician
- Grapevine, TX
National Provider Identifier
1982737714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J8966
- Legal business name
- FAMILY HEALTH OF GRAPEVINE, PA
- Practice address
- 2321 Ira E Woods Ave
Suite 120
Grapevine, TX 76051-8632 - Phone
- (817) 329-9176
- Fax
- (817) 329-9716
- NPI assigned
- Mar 13, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael S Cohen, DO
- Title
- Owner, Physician
- Phone
- (817) 329-9176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J8966 | TX | Primary |
Addresses
Primary practice location
2321 Ira E Woods Ave
Suite 120
Grapevine, TX 76051-8632
Mailing address
2321 Ira E Woods Ave
Suite 120
Grapevine, TX 76051-8632
Phone (817) 329-9176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003EV | Other | TX | BCBS GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
1527 W State Highway 114
Ste 500
Grapevine, TX 76051
Phone (214) 631-9510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982737714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 IRA E WOODS AVE",
"address_2": "SUITE 120",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518632",
"telephone_number": "817-329-9176",
"fax_number": "817-329-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 IRA E WOODS AVE",
"address_2": "SUITE 120",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518632",
"telephone_number": "817-329-9176",
"fax_number": "817-329-9716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH OF GRAPEVINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER, PHYSICIAN",
"authorized_official_telephone_number": "817-329-9176",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "J8966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0003EV",
"state": "TX"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.