DR. RHETT KEYSER FREDRIC (NPI# 1245213230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245213230 |
| Entity Type | Individual |
| Full Name | DR. RHETT KEYSER FREDRIC |
| Other Name | RHETT K FREDRIC |
| Credential | MD |
| Practice Address |
909 9th Ave Suite 402 Fort Worth TX 76104-3903 |
| Practice Telephone | 8173389291 |
| Practice Fax Number | 8173352817 |
| Mailing Telephone | 8173389291 |
| Mailing Fax Number | 8173352817 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2011-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E0011 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 175908601 | 05 | |
| TX | 175911001 | 05 | |
| TX | BCBS | 8CQ911 | 01 |
| MEDICARE RAILROAD | 110056584 | 01 | |
| TX | 175911002 | 05 | |
| TX | BCBS | 8AJ539 | 01 |
| Street Address |
909 9TH AVE SUITE 402 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339373 | Shola Philip Akinfiresoye | Family Medicine | 909 9th Ave, Fort Worth, TX 76104-3903 | 2017-11-10 |
| 1083090062 | Bradley Maddy | Physician Assistant | 909 9th Ave, Suite 208, Fort Worth, TX 76104-3903 | 2015-07-31 |
| 1740690965 | Epic Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 909 9th Ave, Suite 201, Fort Worth, TX 76104-3903 | 2014-04-28 |
| 1083036727 | Minimally Invasive Surgery Specialist Pllc | Surgery | 909 9th Ave, Suite 208, Fort Worth, TX 76104-3903 | 2014-01-15 |
| 1053744540 | Neurosurgical Associates of North Texas Pllc | Neurological Surgery | 909 9th Ave, Suite 201, Fort Worth, TX 76104-3903 | 2013-08-20 |
| 1801154125 | Trinity Diagnostic Clinic, Pa | Internal Medicine | 909 9th Ave, Suite 405, Fort Worth, TX 76104-3903 | 2012-04-24 |
| 1487910964 | Plaza Transplant Center, Pllc | Transplant Surgery | 909 9th Ave, Suite 400, Fort Worth, TX 76104-3903 | 2012-04-09 |
| 1851668925 | Fort Worth Vascular and Surgical Associates, Pa | Surgery | 909 9th Ave, Suite 201, Fort Worth, TX 76104-3903 | 2011-11-17 |
| 1003127754 | Mohamad Saad Do Pllc | Surgery | 909 9th Ave, Suite 208, Fort Worth, TX 76104-3903 | 2010-06-28 |
| 1386967404 | Dr. Sorokolit, M.d., P.a | Plastic Surgery | 909 9th Ave, Ste 200, Fort Worth, TX 76104-3903 | 2010-03-03 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063444297 | David N Barrera | Internal Medicine | 6500 Harris Pkwy, Fort Worth, TX 76132-4136 | 2006-07-07 |
| 1760441885 | Asad Dean | Internal Medicine | 500 S Henderson St Ste 200, Fort Worth, TX 76104 | 2006-03-18 |
| 1205830619 | Richard Alleyne Artim | Internal Medicine | 710 W Leuda St, Fort Worth, TX 76104-3114 | 2005-06-13 |
| 1063415735 | Mary Milam | Internal Medicine | 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 | 2005-05-24 |
| 1477810612 | Vinh Q Trang | Internal Medicine | 500 S Henderson St Ste 200, Fort Worth, TX 76104 | 2012-04-12 |
| 1447544838 | Asim Ahmad | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2011-06-03 |
| 1952539348 | Virginia Stark-vance, M.d., P.a. | Internal Medicine | 1325 Pennsylvania Ave, Suite 120, Fort Worth, TX 76104-2158 | 2009-06-24 |
| 1174786933 | Mary Milam, M.d., P.a. | Internal Medicine | 1307 8th Ave, Suite 205, Fort Worth, TX 76104-4137 | 2008-07-02 |
| 1326207838 | Nicole Schrock Bartosh | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2008-06-09 |
| 1033386578 | Texas Oncology Pa | Internal Medicine | 6500 Harris Pkwy, Fort Worth, TX 76132-4136 | 2008-05-14 |
| 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.