GUADALUPE DE LA FUENTE JR. (NPI# 1255776605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255776605 |
| Entity Type | Individual |
| Full Name | GUADALUPE DE LA FUENTE JR. |
| Other Name | LUPE DE LA FUENTE JR. |
| Credential | M.D. |
| Practice Address |
800 5th Ave Ste 300 Fort Worth TX 76104-7303 |
| Practice Telephone | 8178785300 |
| Practice Fax Number | 8178785321 |
| Mailing Telephone | 8178785300 |
| Mailing Fax Number | 8178785321 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 574739 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
S3150 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
800 5TH AVE STE 300 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376583906 | Stephanie Lynn Curtis | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2006-06-08 |
| 1043721129 | Jesse Kay Clark | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2017-10-17 |
| 1528583762 | Kailey Richelle Osbaugh | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2017-08-09 |
| 1811361694 | Brooke Stovall | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2015-11-17 |
| 1952774580 | Meghan Leigh Bridges | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2015-11-04 |
| 1306212543 | Hajra Motiwala | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2015-08-11 |
| 1255710794 | Cassidy Rae Keshvani | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2015-05-28 |
| 1982944922 | Melanie R Cobb | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2013-02-28 |
| 1780975045 | George Franklin Lebus V | Orthopaedic Surgery | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2011-04-21 |
| 1194041558 | Dean N Papaliodis | Orthopaedic Surgery | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2010-04-10 |
| 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 | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740214816 | Cory A. Collinge | Orthopaedic Surgery | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992952857 | Richard Brian Barber | Orthopaedic Surgery | 21 Spurs Ln Ste 300, San Antonio, TX 78240-1679 | 2008-08-22 |
| 1114192473 | Joseph M Hahn | Orthopaedic Surgery | 7121 S Padre Island Dr Ste 106, Corpus Christi, TX 78412 | 2008-04-28 |
| 1386835585 | Justin Fowler | Orthopaedic Surgery | 2606 Hospital Blvd Ste E, Corpus Christi, TX 78405 | 2007-08-05 |
| 1033312632 | Brent J Bauer | Orthopaedic Surgery | 7125 Sanger Rd Ste 516, Waco, TX 76712-4054 | 2007-06-09 |
| 1568665164 | Ashoke Kasyap Sathy | Orthopaedic Surgery | 4900 Harry Hines Blvd Fl 2, Dept of Orthopaedic Surgery, Dallas, TX 75235-7719 | 2007-06-09 |
| 1689694390 | Charisse Y Sparks | Orthopaedic Surgery | 1809 W Loop 281, Suite 100-131, Longview, TX 75604-2571 | 2006-07-19 |
| 1588655799 | Michael Thomas Charlton | Orthopaedic Surgery | 10010 Rogers Xing Ste 308, San Antonio, TX 78251-4776 | 2005-11-04 |
| 1932199759 | Robert O Crous IIi | Orthopaedic Surgery | 5519 Doctors Dr, Edinburg, TX 78539-5563 | 2005-10-24 |
| 1205241965 | Raymond Bradley Kessler | Orthopaedic Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-06-20 |
| 1962847376 | Jacob Travis Davis | Orthopaedic Surgery | 2201 Macarthur Dr Ste 2205, Waco, TX 76708-3159 | 2013-04-30 |
| Find all providers with the same taxonomy | ||||
| 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.