WILLIAM J. VAN WYK M.D., P.A. (NPI# 1073781050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073781050 |
| Entity Type | Organization |
| Organization Name | WILLIAM J. VAN WYK M.D., P.A. |
| Practice Address |
803 W Terrell Ave Fort Worth TX 76104-3155 |
| Practice Telephone | 8178773113 |
| Practice Fax Number | 8178770022 |
| Mailing Telephone | 8178773113 |
| Mailing Fax Number | 8178770022 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | WILLIAM J. VAN WYK (PRESIDENT) |
| Authorized Official Telephone | 8178773113 |
| Authorized Official Credential | M.D., P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
D9696 | TX | Ambulatory Health Care Facilities |
| Street Address |
803 W TERRELL AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836665 | Melissa Blake James | Occupational Therapist | 803 W Terrell Ave, Fort Worth, TX 76104-3155 | 2005-07-28 |
| 1639344021 | Jill Kay Holden | Occupational Therapist | 803 W Terrell Ave, Fort Worth, TX 76104-3155 | 2008-04-25 |
| 1558361915 | William J Van Wyk | Orthopaedic Surgery | 803 W Terrell Ave, Fort Worth, TX 76104-3155 | 2005-07-28 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881118800 | Wound Care Express, LLC | Clinic/Center | 3109 Chaparral Ln, Fort Worth, TX 76109-2004 | 2017-08-01 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1770971012 | Aaron J Boone Do | Clinic/Center | 9628 Bartlett Cir, Suite 380, Fort Worth, TX 76108-4446 | 2015-01-08 |
| 1578904512 | Excel Cardiac Care Pllc | Clinic/Center | 4324 Heritage Trace Pkwy Ste 808, Fort Worth, TX 76244-9127 | 2013-07-06 |
| 1619115995 | Odom Chiropractic Clinic | Clinic/Center | 6125 Interstate 20, 302, Fort Worth, TX 76132-3629 | 2009-01-26 |
| 1598297533 | Rabin Gerah Md LLC | Clinic/Center | 757 8th Ave, Fort Worth, TX 76104-2522 | 2017-03-29 |
| 1699138305 | Fort Worth Allergy and Asthma Associates, LLP | Clinic/Center | 5929 Lovell Ave, Fort Worth, TX 76107-5029 | 2016-03-30 |
| 1245572163 | Advanced Allergy & Asthma Associates | Clinic/Center | 9433 N Beach St Ste 111, Fort Worth, TX 76244 | 2013-03-18 |
| 1912213778 | Allison Readinger Md Pa | Clinic/Center | 800 8th Ave Ste 326, Fort Worth, TX 76104-2602 | 2010-08-30 |
| 1134443765 | Ut Southwestern Moncrief Cancer Center | Clinic/Center | 400 W Magnolia Ave, Fort Worth, TX 76104-7617 | 2010-03-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on WILLIAM J. VAN WYK M.D., P.A..
| 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.