Organization Active NPI

Family Health of Grapevine, PA

  • Internal Medicine Physician
  • Grapevine, TX
National Provider Identifier
1982737714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J8966 Issued in TX
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0003EVOtherTXBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.