GAVIN F FINE (NPI# 1083724504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083724504 |
Entity Type | Individual |
Full Name | GAVIN F FINE |
Credential | MD |
Practice Address |
801 7th Ave Fort Worth TX 76104-2733 |
Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
Practice Telephone | 6828854054 |
Practice Fax Number | 6828857497 |
Mailing Telephone | 6828851855 |
Mailing Fax Number | 6828857347 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2012-06-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | L8687 | TX | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
L8687 | TX | Allopathic & Osteopathic Physicians |
N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
L8687 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | AMERIGROUP PIN | 10014217 | 01 |
TX | UHC PIN | 1950594 | 01 |
TX | PRONET PIN | 373025 | 01 |
TX | FIRSTCARE PIN | 139833100 | 01 |
GRP NPI NUMBER | 1447220850 | 01 | |
TX | BCBSTX IND PIN | 8K3991 | 01 |
TX | BCBSTX GRP PIN | 00N47F | 01 |
TX | CSHCN | 161650005 | 01 |
TX | AETNA PIN | 5652676 | 01 |
TX | FIRSTHEATLH PIN | 2234925 | 01 |
TX | SUPERIOR PIN | 124199 | 01 |
TX | CIGNA PIN | 5222394 | 01 |
TX | 161650004 | 05 |
Street Address |
801 7TH AVE |
City | FORT WORTH |
State | TX |
Zip Code | 76104-2733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053315010 | Jon Michael Badgwell | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2005-06-08 |
1609482884 | Tiffani Christensen | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2796 | 2020-09-22 |
1528676723 | Kaitlin Renee Noyes | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-07-14 |
1114567369 | Lauren Elizabeth Walker | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-01-15 |
1124667753 | Kirsten A Gomez | Social Worker | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-30 |
1841838448 | Mark Cole Carrillo | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-13 |
1326686148 | Erica Burton | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-11 |
1689217432 | Claire Koskie | Dietitian, Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-10-24 |
1437709243 | Rhonda Maritza Andi | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-09-13 |
1972061034 | Katharine Avery Molloy | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-03-07 |
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 | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366976441 | Accord Anesthesia Pllc | Anesthesiology | 7200 Oakmont Blvd, Fort Worth, TX 76132-3902 | 2017-04-17 |
1043534662 | Mike Martinez II | Anesthesiology | 120 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1228 | 2010-03-25 |
1891736138 | William C Moore | Anesthesiology | 6900 Harris Pkwy, Suite 300, Fort Worth, TX 76132-4255 | 2006-06-09 |
1568409944 | Craig B. Danshaw | Anesthesiology | 5801 Oakbend Trl Ste 230, Fort Worth, TX 76132 | 2006-06-02 |
1700851292 | Christopher C. Pratt | Anesthesiology | 1651 W Rosedale, Suite 205, Fort Worth, TX 76104-7437 | 2006-02-20 |
1114915402 | Sally Ann Hallgren | Anesthesiology | 311 University Dr, Fort Worth, TX 76107-1924 | 2005-10-11 |
1710524095 | Southlake Premier Anesthesia, Pllc | Anesthesiology | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2019-12-05 |
1831736206 | Keller Anesthesia, Pllc | Anesthesiology | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2019-12-04 |
1942769476 | Way Out West Spine and Mobility Pllc | Anesthesiology | 120 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1256 | 2019-03-14 |
1780195412 | Olympus Pain and Orthopedics | Anesthesiology | 1001 12th Ave Ste 154, Fort Worth, TX 76104-3929 | 2017-10-20 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76104 |
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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.