PLAZA MEDICAL SPECIALISTS, PLLC (NPI# 1326379173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326379173 |
| Entity Type | Organization |
| Organization Name | PLAZA MEDICAL SPECIALISTS, PLLC |
| Practice Address |
301 Clifford Center Dr Suite 115 Fort Worth TX 76108-4443 |
| Practice Telephone | 8177376552 |
| Practice Fax Number | 8177326597 |
| Mailing Telephone | 8177376552 |
| Mailing Fax Number | 8177326597 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |
| Authorized Official Name | TODD EVANS (VICE PRESIDENT) |
| Authorized Official Telephone | 7138521550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
301 CLIFFORD CENTER DR SUITE 115 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76108-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962445346 | Robert Tyson Keller | Internal Medicine | 301 Clifford Center Dr, Suite 115, Fort Worth, TX 76108-4443 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488364 | Sharvari Patel | Physical Therapist | 800 Jim Wright Fwy Bldg #2, Fort Worth, TX 76108 | 2020-02-09 |
| 1053778118 | Texas Prosmiles Pllc | Dentist | 9400 Clifford Street, Ste 110, Fort Worth, TX 76108 | 2016-01-20 |
| 1609275981 | Palo Pinto County Hospital District | Skilled Nursing Facility | 7820 Sklyline Park Drive, White Settlement, TX 76108 | 2014-08-22 |
| 1508274895 | Tbhh Investments LLC | Home Health | 403 S Jim Wright Fwy, Ste 160, White Settlement, TX 76108 | 2014-07-30 |
| 1366854267 | Alex Bonnette | Physical Therapist | 9660 Bartlett Cir Ste 708, Fort Worth, TX 76108 | 2014-05-27 |
| 1598196446 | Cheryl Dawn Jorgenson | Pharmacist | 401 South Jim Wright Freeway, Suite 102, Fort Worth, TX 76108 | 2013-12-03 |
| 1760700017 | North Texas Ems | Ambulance | 321 Mesa Grande Dr, Fort Worth, TX 76108 | 2010-05-12 |
| 1801036868 | Gary Don Keel | Physician Assistant | #1 Lockheed Blvd., Lockheed Martin Aeronautics Company, Ft. Worth, TX 76108 | 2009-03-03 |
| 1942420211 | Tina Mclendon | Specialist/Technologist, Other | 332 Memory Dr, Fort Worth, TX 76108 | 2007-04-27 |
| 1700901766 | Jennifer E Gamez | Nurse Practitioner | 12001 S. Freeway Suite 205, Burleson, TX 76108 | 2007-03-20 |
| Find all providers in zip 76108 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1023581006 | Leon S Tio Md Pa | Internal Medicine | 800 8th Ave Ste 336, Fort Worth, TX 76104-2614 | 2019-01-02 |
| 1174009385 | Universal Clinical Care LLC. | Internal Medicine | 2502 Via Nicola Apt 3424, Fort Worth, TX 76109-5587 | 2018-07-11 |
| 1417458068 | Fort Worth Primary Care, Pllc | Internal Medicine | 800 8th Ave Ste 626, Fort Worth, TX 76104-2605 | 2018-02-27 |
| 1750753976 | Momentum Health Partners Pllc | Internal Medicine | 4551 Boat Club Rd, Fort Worth, TX 76135-2004 | 2015-10-27 |
| 1013399286 | Aman Kanti Patel | Internal Medicine | 2502 Via Nicola, Apt # 3424, Fort Worth, TX 76109-6566 | 2015-06-24 |
| 1053705855 | Deidi Ann Bergestuen | Internal Medicine | 5450 Clearfork Main Street Suite 300, Fort Worth, TX 76109-7208 | 2015-03-19 |
| 1992198188 | Jack Ni | Internal Medicine | Baylor Scott & White All Saints Medical Center, 1400 8th Ave, Fort Worth, TX 76104-4192 | 2015-03-11 |
| 1184054066 | Dfw Premier Healthcare Pa | Internal Medicine | 4844 Sangers Ct, Fort Worth, TX 76244-9119 | 2013-11-14 |
| 1588094593 | T Off Men's Health | Internal Medicine | 601 Penn St, Fort Worth, TX 76102-2619 | 2013-11-13 |
| 1174957054 | Medhealth Center Inc | Internal Medicine | 112 Nw 24th St Ste 206, Fort Worth, TX 76164-8577 | 2013-08-27 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76108 |
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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.