RAYMOND A FAIRES (NPI# 1306863998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306863998 |
| Entity Type | Individual |
| Full Name | RAYMOND A FAIRES |
| Credential | MD |
| Practice Address |
1325 Pennsylvania Ave Suite 325 Fort Worth TX 76104-2175 |
| Mailing Address |
Po Box 961205 Fort Worth TX 76161-1205 |
| Practice Telephone | 8178785325 |
| Practice Fax Number | 8173322372 |
| Mailing Telephone | 8177408400 |
| Mailing Fax Number | 8173322372 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
E6342 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 240008035 | 01 | |
| TX | 130279607 | 05 |
| Street Address |
1325 PENNSYLVANIA AVE SUITE 325 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718452 | Mohammad Reza Siadati | Surgery | 1325 Pennsylvania Ave, 200, Fort Worth, TX 76104-2158 | 2005-08-23 |
| 1306315254 | Selina Ann Leewright | Nurse Practitioner | 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 | 2018-11-21 |
| 1972046274 | Tonyka A James Dpm Pllc | Podiatrist | 1325 Pennsylvania Ave, Suite 250, Fort Worth, TX 76104-2158 | 2016-11-18 |
| 1578927661 | Stella-maris Ogwu | Pediatrics | 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 | 2016-04-05 |
| 1316312523 | Jennifer Barnett | Pharmacist | 1325 Pennsylvania Ave, Ste #60, Fort Worth, TX 76104-2158 | 2015-12-14 |
| 1164843306 | Noushin A Firouzbakht Md Pa | Obstetrics & Gynecology | 1325 Pennsylvania Ave, Suite 350, Fort Worth, TX 76104-2158 | 2013-12-13 |
| 1346585718 | Trinity Iom, Pa | Specialist/Technologist, Other | 1325 Pennsylvania Ave, Ste 890, Fort Worth, TX 76104-2158 | 2012-12-11 |
| 1467751404 | James A Scott Md Pa | Physical Medicine & Rehabilitation | 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 | 2011-03-16 |
| 1073819595 | Emnet Sisay | Internal Medicine | 1325 Pennsylvania Ave, Ste. 325, Fort Worth, TX 76104-2158 | 2011-01-31 |
| 1770819336 | Cindi E Tolliver | Pharmacist | 1325 Pennsylvania Ave, Suite #60, Fort Worth, TX 76104-2158 | 2009-11-02 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811037245 | Candis M Lovelace | Surgery | 4400 Heritage Trace Parkway, Suite 200, Fort Worth, TX 76244 | 2007-02-07 |
| 1134134406 | Emily B Mclaughlin | Surgery | 1200 W. Magnolia Ave, Suite 110, Fort Worth, TX 76104-4833 | 2006-07-29 |
| 1326064270 | Robert G Anderson | Surgery | 800 12th Ave Ste 100, Fort Worth, TX 76104-2519 | 2006-07-14 |
| 1013404904 | Steele Plastic Surgery Pllc | Surgery | 5656 Edwards Ranch Road, Suite 202, Fort Worth, TX 76109 | 2018-04-17 |
| 1649438029 | Richard Thomas Ethridge Md | Surgery | 1622 8th Ave, Suite 130, Fort Worth, TX 76104 | 2008-06-02 |
| 1417138157 | Shujaat A Khan M D P A | Surgery | 800 8th Ave, Ste 404, Fort Worth, TX 76104 | 2007-11-23 |
| 1376755819 | Patrick Chen, M.d.,p.a. | Surgery | 1325 Pennsylvania Ave, Ste 610, Fort Worth, TX 76104 | 2007-05-04 |
| 1740386515 | Shujaat A Khan | Surgery | 800 8th Ave, Ste 404, Fort Worth, TX 76104 | 2006-09-16 |
| 1407816408 | David M. Lavine | Surgery | 800 8th Ave, Suite 200, Fort Worth, TX 76104-2619 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408588 | Hill Country Plastic Surgery, Pllc | Surgery | 8042 Wurzbach Rd Ste 120, San Antonio, TX 78229-3818 | 2020-08-23 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1780242123 | Hands of Houston Pllc | Surgery | 6704 Ferris, Bellaire, Texas, TX 77401 | 2019-05-31 |
| 1609361419 | Texas Surgery Specialist, Pllc | Surgery | 1000 N Davis Dr Ste E, Arlington, TX 76012-3202 | 2018-06-25 |
| 1720575954 | Wijay Tops, Pllc | Surgery | 4306 Yoakum Blvd Ste 520, Houston, TX 77006-5883 | 2018-04-13 |
| 1437664067 | Austin Cosmetic Surgery | Surgery | 3102 Rr 620 S, Lakeway, TX 78734 | 2017-12-05 |
| 1326558594 | West Houston Aesthetic and Plastic Surgery Pllc | Surgery | 1717 Wisteria Way, Westlake, TX 76262-9083 | 2017-10-02 |
| 1235667189 | Lyos Plastic Surgery & Associates | Surgery | 9230 Katy Fwy Ste 420, Houston, TX 77055-7468 | 2017-05-23 |
| 1275071292 | Elite Breast & Trauma Care | Surgery | 7400 Fannin St # 700c, Houston, TX 77054-1920 | 2017-02-09 |
| 1699179390 | Sam T. Hamra M.d. P. A. | Surgery | 4131 N Central Expy # 950, Dallas, TX 75204-2102 | 2014-10-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on RAYMOND A FAIRES.
| 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.