HARRIS METHODIST FORT WORTH (NPI# 1205960903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205960903 |
| Entity Type | Organization |
| Organization Name | HARRIS METHODIST FORT WORTH |
| Practice Address |
1301 Pennsylvania Ave Fort Worth TX 76104-2122 |
| Mailing Address |
Po Box 916063 Fort Worth TX 76191-6063 |
| Practice Telephone | 8178823770 |
| Mailing Telephone | 8175708500 |
| Mailing Fax Number | 8175708199 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BARCLAY BERDAN (PRESIDENT HMFW,EVP THR) |
| Authorized Official Telephone | 8178823770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 000235 | TX | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447376892 | Harris Methodist Fort Worth | General Acute Care Hospital | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2007-03-21 |
| Street Address |
1301 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227257 | Robert Louis Quillin | Pediatrics | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2005-07-05 |
| 1003414996 | Jana Mitchell | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-10-13 |
| 1730799941 | Brin Alexandra Morris | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1871103168 | Niki Sheth | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1033736863 | Molly Taylor | Respiratory Therapist, Registered | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-27 |
| 1215554175 | Suja Varghese | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1538786470 | Amanda A Viehmann | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1376169599 | Heather Nicole Le | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-23 |
| 1750904249 | Kelli Renee Vogler | Physician Assistant | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-19 |
| 1598387169 | Alim Virji | Radiology | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-17 |
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| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710061023 | Texas Health Harris Methodist Hospital Fort Worth | Rehabilitation Unit | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-10-24 |
| 1427088665 | Tarrant County Hospital District | Rehabilitation Unit | 1500 S Main St, Fort Worth, TX 76104-4917 | 2006-07-04 |
| 1710924832 | Columbia Plaza Medical Center of Fort Worth Subsidiary Lp | Rehabilitation Unit | 900 8th Ave, Fort Worth, TX 76104-3902 | 2006-05-31 |
| 1629015748 | Columbia Plaza Medical Center of Fort Worth Subsidiary Lp | Rehabilitation Unit | 900 8th Ave, Fort Worth, TX 76104-3902 | 2006-05-31 |
| 1891765178 | Cook Children's Medical Center | Rehabilitation Unit | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346793890 | Chukwuemeka Ozonwankwo | Rehabilitation Unit | 2111 Washington Cir, Apt 120, Arlington, TX 76011-3320 | 2016-08-02 |
| 1942650577 | Unlocking The Spectrum | Rehabilitation Unit | 9911 Sundew Cir, Houston, TX 77070-1992 | 2016-06-14 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1740683200 | Baptist Health System | Rehabilitation Unit | 5630 W Loop 1604 N Ste 108, San Antonio, TX 78251-3806 | 2014-09-29 |
| 1568899391 | Hillcrest Baptist Medical Center | Rehabilitation Unit | 100 Hillcrest Medical Blvd Fl 2, Waco, TX 76712-8897 | 2013-10-11 |
| 1194022749 | Mmc Therapy Enterprises, LLC | Rehabilitation Unit | 4951 Long Prairie Road, Suite 110, Flower Mound, TX 75028 | 2011-02-17 |
| 1437453545 | Vitality Chiropractic and Wellness | Rehabilitation Unit | 1205 Meadowlark Dr, Little Elm, TX 75068-4653 | 2011-01-04 |
| 1699832303 | Procare Therapies PC | Rehabilitation Unit | 515 E. Business Hwy. 83, Suite A, Alamo, TX 78516 | 2007-01-02 |
| 1386705390 | Sierra Providence Health Network | Rehabilitation Unit | 81 Camille Apt 44, El Paso, TX 79912-0011 | 2006-12-13 |
| 1831276930 | Harris County Hospital District | Rehabilitation Unit | 3601 North Macgregor Way, Houston, TX 77004-8004 | 2006-11-01 |
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| 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.