MR. STEVEN ANTHONY MUDROVICH (NPI# 1134193683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134193683 |
| Entity Type | Individual |
| Full Name | MR. STEVEN ANTHONY MUDROVICH |
| Credential | MD |
| Practice Address |
1400 8th Ave Fort Worth TX 76104-4192 |
| Mailing Address |
Po Box 2627 Fort Worth TX 76113 |
| Practice Telephone | 8179276249 |
| Mailing Telephone | 8179221559 |
| Mailing Fax Number | 8179276296 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2008-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
E9823 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1400 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393674 | Todd Ryan Newton | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-10-13 |
| 1477163749 | Sarah Louise Kelley | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-08-03 |
| 1659980811 | Jessica Marie Custance | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-07-23 |
| 1912516170 | Kevin Pannell | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-07-23 |
| 1093336570 | Lindsay Keller Chapman | Physical Therapist | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-05-06 |
| 1093336752 | Joab Odhiambo Acholla | Nurse Practitioner | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-05-04 |
| 1952937823 | Melissa Maxwell | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-03-22 |
| 1700419421 | Jaclyn Theresa Channell | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-02-20 |
| 1245861160 | Landon Collier | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-01-29 |
| 1245861178 | Brittney Long | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-01-29 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528381225 | Stanley M Kurtz | Pathology | 4129 Rowan Dr, Fort Worth, TX 76116-8066 | 2010-03-09 |
| 1316968860 | Eugene H. Pace | Pathology | 1500 S. Main St., Fort Worth, TX 76104-4917 | 2006-07-21 |
| 1710913421 | Diana Cypress Wagner | Pathology | 1500 S. Main St, Fort Worth, TX 76104-4917 | 2006-06-24 |
| 1154379907 | Julie A Fields | Pathology | 2909 Lackland Rd, Fort Worth, TX 76116-4119 | 2006-05-04 |
| 1780658211 | Brian Keith Carlile | Pathology | 1400 8th Avenue, Fort Worth, TX 76104-4192 | 2006-02-13 |
| 1518963727 | Milan Franklin Vuitch | Pathology | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 | 2005-06-22 |
| 1356721666 | Janice Michelle Tyler | Pathology | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2015-06-02 |
| 1720466527 | Michelle Parmley | Pathology | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2015-05-12 |
| 1598928590 | Sandy Diane Cope-yokoyama | Pathology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2008-07-09 |
| 1447419445 | Jason Wang | Pathology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2008-06-04 |
| 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.