THEODORE W CROFFORD (NPI# 1265473466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265473466 |
| Entity Type | Individual |
| Full Name | THEODORE W CROFFORD |
| Credential | MD |
| Practice Address |
6301 Harris Pkwy Ste 300 Fort Worth TX 76132-4245 |
| Practice Telephone | 8178773432 |
| Practice Fax Number | 8173464394 |
| Mailing Telephone | 8178773432 |
| Mailing Fax Number | 8173464394 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
H0273 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080486601 | 05 | |
| TX | 137134612 | 05 | |
| TN | BLUE CROSS & BLUE SHIELD | 80093Y | 01 |
| Street Address |
6301 HARRIS PKWY STE 300 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262710 | Jeffrey L Mcgowen | Orthopaedic Surgery | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4249 | 2005-06-01 |
| 1477154490 | Cassandra Jade Hinojosa | Nurse Practitioner | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2020-11-05 |
| 1689215857 | Hunter Powell | Physician Assistant | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2019-09-30 |
| 1023524428 | Sarah Elizabeth Herr | Physician Assistant | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2017-12-20 |
| 1033642756 | Nicole Valetutto | Nurse Practitioner | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2017-04-10 |
| 1841736626 | Holly Chu | Physician Assistant | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2017-01-17 |
| 1104373935 | Callie Jarratt | Physician Assistant | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2016-09-09 |
| 1336559749 | Rachael Michelle Scharchburg | Physician Assistant | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4249 | 2014-05-07 |
| 1366862666 | Adam Brekke | Orthopaedic Surgery | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2014-04-24 |
| 1710314414 | Kathryn Hall | Physician Assistant | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2013-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| 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 |
|---|---|---|---|---|
| 1255373619 | Gurpreet S Bajaj | Orthopaedic Surgery | 929 Lipscomb St., Fort Worth, TX 76104 | 2006-06-11 |
| 1548262710 | Jeffrey L Mcgowen | Orthopaedic Surgery | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4249 | 2005-06-01 |
| 1114123080 | Steven Boyd Ogden | Orthopaedic Surgery | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4245 | 2007-06-26 |
| 1952342040 | Steven H Weeden | Orthopaedic Surgery | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4245 | 2006-06-09 |
| 1184671729 | Ajai Cadambi | Orthopaedic Surgery | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4245 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598108797 | Bone and Joint Surgery Associates, P.a. | Orthopaedic Surgery | 2122 Babcock Rd Ste 101, San Antonio, TX 78229-4411 | 2013-04-08 |
| 1578846002 | David Peter Brigati | Orthopaedic Surgery | Health Transformation Building, 1601 Trinity Street, Austin, TX 78712 | 2011-09-21 |
| 1831496983 | Gens Pierce Goodman | Orthopaedic Surgery | 4801 Alberta Ave Ste 101, Orthopaedic Surgery, El Paso, TX 79905-2707 | 2011-02-24 |
| 1699920256 | Vijayaraj Kannan | Orthopaedic Surgery | 6550 Fannin Street Suite 2500, The Methodist Hospital,center for Orthopaedic Surgery, Houston, TX 77030 | 2008-11-24 |
| 1023260478 | Jesse James Ferraris Exaltacion | Orthopaedic Surgery | 6550 Fannin St., Suite 2500 The Methodist Hospital, Center for Orthopaed, Houston, TX 77030 | 2008-10-16 |
| 1043483134 | Michael C Cusick | Orthopaedic Surgery | 601 Rockmead Dr Ste 100, Kingwood, TX 77339-2107 | 2008-04-09 |
| 1972787927 | Farbod Malek | Orthopaedic Surgery | 2122 Babcock Rd, Suite 101, San Antonio, TX 78229-4411 | 2007-12-27 |
| 1003018086 | Mario Joseph Quesada | Orthopaedic Surgery | 1201 E Alton Gloor Blvd, Suite B, Brownsville, TX 78526-3831 | 2007-06-01 |
| 1750400636 | Louise Marie Brooker | Orthopaedic Surgery | 4514 Cornell St, Suite B, Amarillo, TX 79109-5800 | 2007-03-29 |
| 1457429375 | The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | 19138 Us Highway 281 N Ste 100, San Antonio, TX 78258-4988 | 2006-11-30 |
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| City | FORT WORTH |
| Zip Code | 76132 |
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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.