DR. HISHAM BISMAR (NPI# 1154371078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154371078 |
| Entity Type | Individual |
| Full Name | DR. HISHAM BISMAR |
| Credential | M.D. |
| Practice Address |
11807 South Freeway, Ste 362 Fort Worth TX 76115 |
| Practice Telephone | 8175680004 |
| Practice Fax Number | 8175680804 |
| Mailing Telephone | 8175680004 |
| Mailing Fax Number | 8175680804 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
H4873 | TX | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
H4873 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 139031213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477714749 | Hisham A Bismar | Orthopaedic Surgery | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2008-06-19 |
| Street Address |
11807 SOUTH FREEWAY, STE 362 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912194135 | Hisham Bismar Md Pa | Internal Medicine | 11807 South Freeway, Ste 362, Fort Worth, TX 76115 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400047 | Christine Vera Varela | Nurse Practitioner | Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 | 2017-11-09 |
| 1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
| 1508097858 | Misti Lynne Poulos | Massage Therapist | 4534 Stanley Ave, #361, Fort Worth, TX 76115 | 2009-08-04 |
| 1609015312 | Sirisha Bheemaneni | Internal Medicine | 11801 S Frwy, Fort Worth, TX 76115 | 2009-02-19 |
| 1639378292 | Jeffrey J. Raymond | Physician Assistant | 544 West Seminary Dr, Fort Worth, TX 76115 | 2007-07-13 |
| 1336367952 | Luis Sierra-nieves | Physician Assistant | 544 West Seminary Drive, Fort Worth, TX 76115 | 2007-04-20 |
| 1396861209 | Remedios R Cabansag | Obstetrics & Gynecology | 11803 So Freewax, Suite 254, Fort Worth, TX 76115 | 2007-03-22 |
| 1073602611 | Courage Rehab Clinic | Clinic/Center | 1670 North Hampton Road, Suite 110, Desoto, TX 76115 | 2006-10-12 |
| 1548369200 | Vijay Khanna | Podiatrist | 4759 B South Freeway, Ft Worth, TX 76115 | 2006-09-21 |
| 1225045164 | Allan M Wallace | Optometrist | 11803 South Frwy, Suite 114, Fort Worth, TX 76115 | 2006-08-02 |
| Find all providers in zip 76115 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629581467 | The Lung Consultants LLC | Internal Medicine | 1325 Pennsylvania Ave Ste 370, Fort Worth, TX 76104-2110 | 2017-11-15 |
| 1174924450 | David Maldonado IIi Md Pa | Internal Medicine | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 | 2014-09-05 |
| 1700813383 | Daud H Ashai | Internal Medicine | 1001 College Avenue, Ste A, Fort Worth, TX 76104-3013 | 2006-06-27 |
| 1881688331 | Kerim F Razack | Internal Medicine | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2005-09-09 |
| 1134113913 | John T Pender Jr. | Internal Medicine | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2005-09-07 |
| 1053313882 | Kwaku A Osafo-mensah | Internal Medicine | 2550 River Park Dr, Suite 100, Fort Worth, TX 76116-0921 | 2005-08-11 |
| 1184071771 | Dfw Critical Care LLC | Internal Medicine | 1001 College Ave, Ste A, Fort Worth, TX 76104-3000 | 2016-05-24 |
| 1760877732 | Amanda Catherine Pientka | Internal Medicine | 1500 S Main St, Fort Worth, TX 76104-4917 | 2015-04-06 |
| 1972843415 | Lien-khuong Pham Tran | Internal Medicine | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2013-02-20 |
| 1811286420 | Claudia Andira Perez | Internal Medicine | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2011-04-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76115 |
Please comment or provide details below to improve the information on DR. HISHAM BISMAR.
| 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.