DONALD EDWARD WATENPAUGH (NPI# 1134528169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134528169 |
| Entity Type | Individual |
| Full Name | DONALD EDWARD WATENPAUGH |
| Credential | PH.D. |
| Practice Address |
1521 Cooper St Fort Worth TX 76104-2711 |
| Practice Telephone | 8173327433 |
| Practice Fax Number | 8173362159 |
| Mailing Telephone | 8173327433 |
| Mailing Fax Number | 8173362159 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173F00000X | Sleep Specialist, PhD | Other Service Providers |
| Street Address |
1521 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688331 | Kerim F Razack | Internal Medicine | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2005-09-09 |
| 1134599863 | Kailee Marie Hughes | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2015-10-07 |
| 1104220029 | Madeline Mccluer Dickerson | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2014-10-21 |
| 1265862197 | Margaret Adelia Davis | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2013-11-13 |
| 1629407077 | May Ha Goetsch | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2013-11-06 |
| 1487942280 | Carina Manalo | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2011-07-13 |
| 1275853327 | Vikas Goyal | Internal Medicine | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2010-06-10 |
| 1598082679 | Amy Michelle Bird | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2010-04-28 |
| 1649594268 | Steven Kim | Internal Medicine | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2010-03-25 |
| 1598944050 | Jodi P English | Clinical Nurse Specialist | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2007-10-31 |
| 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 | 173F00000X |
| Grouping | Other Service Providers |
| Classification | Sleep Specialist, PhD |
| Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. |
| Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255718979 | Simple Sleep Services | Sleep Specialist, PhD | 1307 8th Ave, Suite 404, Fort Worth, TX 76104-4137 | 2015-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097154 | Kassandra Acuna | Sleep Specialist, PhD | 2305 N Alexander Dr, Baytown, TX 77520-3434 | 2019-11-17 |
| 1134587629 | Rest Diagnostics, Limited Liability Company | Sleep Specialist, PhD | 15423 Creek Bend Dr, Sugar Land, TX 77478-4561 | 2016-01-29 |
| 1881993582 | Innova Sleep and Diagnostic Center | Sleep Specialist, PhD | 14603 Laura Cir, Cypress, TX 77429-3312 | 2011-03-21 |
| 1639336274 | Sleep Interpretations Unlimited, LLC | Sleep Specialist, PhD | 31818 Churchhill Field Ln, Fulshear, TX 77441-4184 | 2008-05-21 |
| 1255518783 | North Texas Pulmonary & Sleep Disorders | Sleep Specialist, PhD | 23363 Us 82 West, Sherman, TX 75092 | 2008-01-28 |
| 1306235254 | Sleep Diagnostic Center | Sleep Specialist, PhD | 19411 Mckay Dr, 100, Humble, TX 77338-5713 | 2015-01-15 |
| 1760885891 | Jay Zeidman | Sleep Specialist, PhD | 5535 Memorial Dr, #664, Houston, TX 77007-8021 | 2014-10-03 |
| 1114202959 | Simple Sleep Services | Sleep Specialist, PhD | 17721 Dallas Pkwy, 116, Dallas, TX 75287-7343 | 2011-10-12 |
| 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.