DR. ANTHONY KIM (NPI# 1356311823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356311823 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY KIM |
| Credential | M.D. |
| Practice Address |
4504 Boat Club Rd Suite 800 Fort Worth TX 76135-7003 |
| Practice Telephone | 8172370515 |
| Practice Fax Number | 8172378289 |
| Mailing Telephone | 8172370515 |
| Mailing Fax Number | 8172378289 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K8925 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149986502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437554078 | Anthony Kim | Acupuncturist | 1791 E Holt Blvd Ste D, Ontario, CA 91761-2125 | 2014-10-24 |
| 1851485866 | Anthony H Kim | Optometrist | 3730 Carmia Dr Sw, Suite 310, Atlanta, GA 30331-6251 | 2006-10-03 |
| 1316963325 | Anthony Kim | Dentist | 8502 Kendra Ln, Corona, CA 92880-3783 | 2006-07-14 |
| 1154363109 | Anthony H Kim | Psychiatry & Neurology | 2155 State Route 22b, Morrisonville, NY 12962-3417 | 2006-06-12 |
| 1134504285 | Anthony Kim | Chiropractor | 1565 Saxon Blvd, Suite 103, Deltona, FL 32725-5876 | 2015-07-29 |
| 1790048254 | Anthony Junghoi Kim | Internal Medicine | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2012-06-20 |
| 1356662316 | Anthony C Kim | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2010-06-14 |
| 1295833762 | Anthony W Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1450 San Pablo St Ste 6200, Los Angeles, CA 90033-5331 | 2006-09-20 |
| 1801906813 | Anthony Sung Gil Kim | Dentist | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2006-08-30 |
| 1891718490 | Anthony C Kim | Internal Medicine | 60 Merrick Ave, East Meadow, NY 11554-1578 | 2006-07-25 |
| Street Address |
4504 BOAT CLUB RD SUITE 800 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76135-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558331504 | Robert Hames | Family Medicine | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7003 | 2006-01-24 |
| 1881923530 | Kimberly Diane Pullen | Physician Assistant | 4504 Boat Club Rd, #800, Fort Worth, TX 76135-7003 | 2009-12-09 |
| 1992960025 | Katherine H Elliott | Physician Assistant | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7003 | 2008-07-29 |
| 1285727941 | Wissam Noubani | Physician Assistant | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7003 | 2006-10-02 |
| 1356442321 | Mohammed Antwi | Physician Assistant | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7003 | 2006-09-25 |
| 1114035375 | Dennis Copenhaver | Physician Assistant | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7003 | 2006-08-28 |
| 1891753133 | Jay-kishun Enterprise, Inc. | Durable Medical Equipment & Medical Supplies | 4504 Boat Club Rd, #200, Fort Worth, TX 76135-7003 | 2006-05-03 |
| 1881664340 | Steven Hardee | Family Medicine | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7003 | 2006-01-25 |
| 1417927971 | William Seger | Family Medicine | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7003 | 2006-01-25 |
| 1205806106 | Tarrant Family Practice P.a | Family Medicine | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7003 | 2006-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
| 1750882056 | Kandess Klein | Licensed Vocational Nurse | 8825 Claiborn St, Lakeside, TX 76135 | 2018-02-22 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| 1598207821 | Young Men's Christian Association of Metropolitan Fort Worth | Health Educator | 5315 Boat Club Rd, Fort Worth, TX 76135 | 2016-11-17 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1316300999 | National Vision, Inc. | Technician/Technologist | 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 | 2016-04-01 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1316134125 | Home Town Dental,pa | Dentist | 6332 Lake Worth, Lake Worth, TN 76135 | 2007-09-26 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1457570053 | Dawn Denise Ezelle | Occupational Therapy Assistant | 3400 Marine Drive, Fort Worth, TX 76135 | 2007-04-24 |
| Find all providers in zip 76135 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1952870354 | Nancy Carolina Nicoloso | Family Medicine | 6302 Lake Worth Blvd Ste A3963, Fort Worth, TX 76135-3607 | 2018-11-15 |
| 1245717586 | Julia Dubose | Family Medicine | 4100 Heritage Trace Pkwy Ste 116, Fort Worth, TX 76244 | 2018-07-19 |
| 1609307115 | Yara Hamade Gonzales | Family Medicine | 4701 Bryant Irvin Rd, Fort Worth, TX 76132-3603 | 2017-03-26 |
| 1558732321 | Andres Morgado Perez | Family Medicine | 1325 Pennsylvania Ave Ste 750, Fort Worth, TX 76104-2168 | 2015-10-19 |
| 1114304805 | Davis Wellness Ltd LLP | Family Medicine | 3750 S. University Dr., Suite 201, Fort Worth, TX 76109-3701 | 2015-05-01 |
| 1902298417 | Jack Lynwood Judson, Md | Family Medicine | 1800 Malibar Rd, Fort Worth, TX 76116-1834 | 2015-02-21 |
| 1104243468 | Henry Dollahite | Family Medicine | 6205 Locke Ave, Fort Worth, TX 76116-4636 | 2014-03-25 |
| 1447676689 | Janet Shackelford | Family Medicine | 5001 Golden Triangle Blvd, # 1024, Fort Worth, TX 76244 | 2014-03-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76135 |
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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.