DR. TREVOR A JOHNSON (NPI# 1003278003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003278003 |
| Entity Type | Individual |
| Full Name | DR. TREVOR A JOHNSON |
| Credential | MD |
| Practice Address |
1500 S Main St Ft Worth TX 76104 |
| Mailing Address |
1500 S Main St Ft Worth TX 76104-4917 |
| Practice Telephone | 8177023431 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | R4856 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | R4856 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10700 Mcpherson Rd, Laredo, TX 780456268 | 9565232000 | 9565230444 |
| 2901 Jaime Zapata Memorial Hwy, Laredo, TX 780435061 | 9565232000 | 9565230444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184101768 | Trevor J Johnson | Physical Therapy Assistant | 6020 W Parker Rd Ste 300, Plano, TX 75093-8177 | 2018-07-25 |
| 1912208646 | Trevor Johnson | Social Worker | 3575 Macon Rd Ste 731907, Columbus, GA 31907-8200 | 2010-11-11 |
| 1760710735 | Trevor E Johnson | Anesthesiologist Assistant | 72 Village Way Ste 2b, Hudson, OH 44236-5127 | 2009-12-02 |
| 1609102698 | Trevor Russell Johnson | Specialist/Technologist, Other | 320 Santa Fe Dr Ste 301, Encinitas, CA 92024-5140 | 2009-10-26 |
| 1952562514 | Trevor Gregg Johnson | Dentist | 8700 W 101st Ave Ste 300, Westminster, CO 80021 | 2008-06-17 |
| 1982711933 | Trevor Johnson | Physical Therapist | 610 Solarex Court, Frederick, MD 21703 | 2006-08-24 |
| 1023501707 | Trevor Jacob Johnson | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Hwy, New Orleans, LA 70121-2426 | 2018-06-07 |
| 1568841609 | Trevor Allen Johnson | Physical Therapist | 1510 Collingwood Rd, Alexandria, VA 22308-1605 | 2015-05-21 |
| 1679860357 | Trevor B Johnson | Social Worker | 2400 Park Ave, Minneapolis, MN 55404-3713 | 2011-07-01 |
| 1699093963 | Trevor Johnson | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2010-05-12 |
| Street Address |
1500 S MAIN ST |
| City | FT WORTH |
| State | TX |
| Zip Code | 76104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306466875 | Scott Brockwell Mathis | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2020-04-24 |
| 1497398531 | Liza Munoz Rodriguez | Nurse Practitioner | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-10-22 |
| 1407418924 | Amanda Rae Arreola | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-07-04 |
| 1053872572 | Samuel Crist | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-03-27 |
| 1104386564 | Jane Elizabeth Gilmore | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-03-21 |
| 1306338801 | Joel Ortlip | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4941 | 2018-05-31 |
| 1518461946 | Dwain Paul Strickland | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2018-03-20 |
| 1639673056 | Jonathan Norman Hardy | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104-4941 | 2018-03-20 |
| 1457803124 | Lashindra Fisher | Nurse Practitioner | 1500 S Main St, Ft Worth, TX 76104-4917 | 2016-10-28 |
| 1518412949 | Jack Ingram | Psychiatry & Neurology | 1500 S Main St, Ft Worth, TX 76104-4917 | 2016-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043364110 | Michael Ernest Truman | Family Medicine | 2401 Canton Drive, Ft Worth, TX 76112-5001 | 2007-01-23 |
| 1932273059 | Sonal R Patel | Family Medicine | 6120 Avery Dr, #3202, Ft Worth, TX 76132-5397 | 2006-11-20 |
| 1700971876 | Basil Bernstein | Family Medicine | 7016 Bryant Irvin Rd Ste 100, Ft Worth, TX 76132-4120 | 2006-10-04 |
| 1245262484 | Nancy G Faigin | Family Medicine | 5703 West Creek Dr, Ft Worth, TX 76133-3395 | 2006-07-07 |
| 1417563941 | Tracy Lynn Weaver | Family Medicine | 3101 N Tarrant Pkwy, Ft Worth, TX 76177-8601 | 2020-09-21 |
| 1326505637 | Metroplex Medical Centre - Fort Worth | Family Medicine | 201 Commerce St, Ft Worth, TX 76102-7206 | 2019-02-22 |
| 1174053755 | The Wellness Center Health and Therapy LLC | Family Medicine | 5521 Bellaire Dr S Ste 114b, Ft Worth, TX 76109-5855 | 2017-06-15 |
| 1639533466 | Harry Shen | Family Medicine | 1500 S Main St, Ft Worth, TX 76104-4917 | 2016-04-07 |
| 1316329170 | Sally Kurz | Family Medicine | 1000 Bonnie Brae Ave, Ft Worth, TX 76111-4301 | 2015-06-28 |
| 1932545035 | Christopher Deuel | Family Medicine | 1500 S Main St, Ft Worth, TX 76104-4917 | 2013-05-15 |
| Find all providers in FT WORTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.