OSAMA MOHAMED ELMHISHI


Address: 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228
Phone: 8178775858

OSAMA MOHAMED ELMHISHI (NPI# 1306095849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306095849
Entity Type Individual
Full Name OSAMA MOHAMED ELMHISHI
Credential MD
Practice Address 1001 Pennsylvania Ave
Fort Worth
TX 76104-2228
Mailing Address 1000 W Cannon St
Fort Worth
TX 76104-3029
Practice Telephone 8178775858
Mailing Telephone 8177257900
Mailing Fax Number 6822071030
Enumeration Date 2008-09-09
Last Update Date 2019-11-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine P1297 TX Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 38396 IA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 036121577 IL Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
P1297 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 301498704 05

Office Location

Street Address 1001 PENNSYLVANIA AVE
City FORT WORTH
State TX
Zip Code 76104-2228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699767798 Ponniah S Sankarapandian Internal Medicine 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2005-08-16
1851839740 Angella Clarke Nurse Practitioner 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2017-02-10
1396175535 Whitney Marie Kirkpatrick Registered Nurse 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2013-11-26
1043645476 Lisa Philip Mathew Registered Nurse 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2013-09-04
1417221755 Jennifer A Johnson Clinical Nurse Specialist 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2012-03-05
1043453293 Machaiah M Madhrira Internal Medicine 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2009-04-16
1912156407 Chinnapa R Gade Registered Nurse 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2008-09-09
1700061819 Sridhar Reddy Allam Internal Medicine 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2008-01-08
1992989206 Peter Brian Ramirez Internal Medicine 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2007-12-21
1952582157 Imran Adam Memon Internal Medicine 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 2007-11-16
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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