CLINICAL NEPHROLOGY ASSOCIATES, PA (NPI# 1184669673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184669673 |
| Entity Type | Organization |
| Organization Name | CLINICAL NEPHROLOGY ASSOCIATES, PA |
| Practice Address |
1700 Mistletoe Blvd Fort Worth TX 76104-4042 |
| Mailing Address |
Po Box 470787 Fort Worth TX 76147-0787 |
| Practice Telephone | 8179238050 |
| Practice Fax Number | 8179238832 |
| Mailing Telephone | 8179238050 |
| Mailing Fax Number | 8179238832 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | DR. JACK ORRIN GRATCH (CEO) |
| Authorized Official Telephone | 8179238050 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TEXAS | 00T17Z | 01 |
| TX | MEDICARE RAILROAD | CT1051 | 01 |
| TX | 085155202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598003220 | Clinical Nephrology Associates, Pa | Internal Medicine | 11797 South Fwy, Suite 226, Burleson, TX 76028-7026 | 2013-01-31 |
| 1609149517 | Clinical Nephrology Associates, Pa | Internal Medicine | 2800 E Highway 114, Trophy Club, TX 76262-5304 | 2012-02-23 |
| 1811025117 | Clinical Nephrology Associates, Pa | Internal Medicine | 920 Santa Fe Dr, Suite 103, Weatherford, TX 76086-5864 | 2007-03-01 |
| Street Address |
1700 MISTLETOE BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194111443 | Clinical Nephrology Assoc | Specialist | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 | 2015-04-14 |
| 1922258268 | Teresa Ann Mclemore | Physician Assistant | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 | 2008-09-23 |
| 1912938267 | Jack O Gratch | Internal Medicine | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 | 2006-07-05 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1487070751 | Texas Health Care, P.l.l.c. | Internal Medicine | 6100 Harris Pkwy Ste 260, Fort Worth, TX 76132-4101 | 2014-03-11 |
| 1740539196 | Muhammad Omar Azam | Internal Medicine | 711 Pennsylyvania Ave, Fort Worth, TX 76104222 | 2012-08-30 |
| 1003143165 | Texas Health Care, P.l.l.c. | Internal Medicine | 508 South Adams, Suite 102, Fort Worth, TX 76104-2151 | 2009-11-11 |
| 1548449663 | Fysal Albaalbaki | Internal Medicine | 508 South Adams, Suite 102, Fort Worth, TX 76104-2151 | 2007-10-25 |
| 1457543902 | Ntkc Management, LLC | Internal Medicine | 1049 Clifton St, Fort Worth, TX 76107-2628 | 2007-08-17 |
| 1184739849 | Thomas Rajan | Internal Medicine | 1634 Mistletoe Blvd, Fort Worth, TX 76104-4012 | 2006-08-20 |
| 1932116902 | Nishant B Jalandhara | Internal Medicine | 4420 Heritage Trace Pkwy Ste 312, Fort Worth, TX 76244-8904 | 2006-08-02 |
| 1700891579 | Raghuveer Vanguru | Internal Medicine | 10700 Victoria Ash Dr, Fort Worth, TX 76244-6392 | 2006-07-30 |
| 1205869773 | Carlos S Bahrami | Internal Medicine | 508 S Adams St Ste 102, Fort Worth, TX 76104-2151 | 2006-07-08 |
| 1740220433 | Rajesh K Davda | Internal Medicine | 950 W Magnolia Ave, Fort Worth, TX 76104 | 2006-06-08 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on CLINICAL NEPHROLOGY ASSOCIATES, PA.
| 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.