PPG HEALTH, PA (NPI# 1295736973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295736973 |
| Entity Type | Organization |
| Organization Name | PPG HEALTH, PA |
| Other Organization Name | LONGEVITY BARIATRIC AND WELLNESS |
| Practice Address |
1000 W Cannon St Fort Worth TX 76104-3029 |
| Practice Telephone | 8178775858 |
| Practice Fax Number | 8173354418 |
| Mailing Telephone | 8178775858 |
| Mailing Fax Number | 8173354418 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. PONNIAH S SANKARAPANDIAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8178775858 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204F00000X | Transplant Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 084560402 | 05 | |
| TX | BLUE CROSS | 00QQ28 | 01 |
| TX | 084560401 | 05 |
| Other Name | Type Code |
|---|---|
| Longevity Bariatric and Wellness | Doing Business As Name - Organization |
| North Texas Endocrine Consultants | Doing Business As Name - Organization |
| Premier Obstetrics & Gynecology | Doing Business As Name - Organization |
| Primary Care Associates of Texas | Doing Business As Name - Organization |
| Tarrant Nephrology Associates | Doing Business As Name - Organization |
| Tarrant Nephrology Associates | Former Legal Business Name - Organization |
| Texas Cardiovascular Institute | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Pennsylvania Ave, Fort Worth, TX 761042228 | 8178775858 | |
| 1650 W Rosedale St Ste 301, Fort Worth, TX 761047400 | 8172594333 | |
| 1307 8th Ave Ste 403, Fort Worth, TX 761044143 | 6822071375 | |
| 1650 W Rosedale St Ste 302, Fort Worth, TX 761047400 | 8178857888 | |
| 3025 N Tarrant Pkwy # 170, Fort Worth, TX 761778620 | 8174829831 | |
| 6000 Colleyville Blvd Ste 150, Colleyville, TX 760348024 | 8176189997 | |
| 909 9th Ave Ste 202, Fort Worth, TX 761043916 | 8178774105 | |
| 6455 Hilltop Dr Ste 112, North Richland Hills, TX 761806039 | 8174829837 | |
| 5729 Bryant Irvin Rd, Fort Worth, TX 761324024 | 8174829832 | |
| 500 Lipscomb St, Fort Worth, TX 761042200 | 8178775858 | |
| 3101 Churchill Dr Ste 115, Flower Mound, TX 750222717 | 4696451804 | |
| 265 Se John Jones Dr Ste 102, Burleson, TX 760288356 | 6829900747 |
| Street Address |
1000 W CANNON ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170637 | Mary Elizabeth Morgan | Physician Assistant | 1000 W Cannon St, Fort Worth, TX 76104-3029 | 2020-07-02 |
| 1518377498 | Abimbola Uwoghiren | Nurse Practitioner | 1000 W Cannon St, Fort Worth, TX 76104-3029 | 2014-05-01 |
| 1992806632 | Neena Bhagat | Internal Medicine | 1000 W Cannon St, Fort Worth, TX 76104-3029 | 2006-09-26 |
| 1114918356 | Samatha Chandupatla | Internal Medicine | 1000 W Cannon St, Fort Worth, TX 76104-3029 | 2005-11-04 |
| 1093707887 | Geethanjali Ramamurthy | Internal Medicine | 1000 W Cannon St, Fort Worth, TX 76104-3029 | 2005-08-17 |
| 1598757387 | Tsr Murugan | Internal Medicine | 1000 W Cannon St, Fort Worth, TX 76104-3029 | 2005-08-17 |
| 1376535310 | Lee E Anderson | Internal Medicine | 1000 W Cannon St, Fort Worth, TX 76104-3029 | 2005-08-16 |
| 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 |
| 1184669673 | Clinical Nephrology Associates, Pa | Internal Medicine | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 | 2006-06-18 |
| 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.