R LARRY MARSHALL MD PA (NPI# 1356317051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356317051 |
| Entity Type | Organization |
| Organization Name | R LARRY MARSHALL MD PA |
| Other Organization Name | ROBERT LARRY MARSHALL |
| Practice Address |
1650 W Rosdale Ste 302 Fort Worth TX 76104 |
| Practice Telephone | 8173329688 |
| Mailing Telephone | 8173329688 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. R LARRY MARSHALL (PHYSICIAN) |
| Authorized Official Telephone | 8173329688 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
D9846 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GRP NO | 00782T | 01 |
| Other Name | Type Code |
|---|---|
| Robert Larry Marshall | Other Name - Individual/Organization |
| Street Address |
1650 W ROSDALE STE 302 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1164636072 | Rajni Kalagate | Internal Medicine | 6601 Dan Danciger Rd Ste 100, Fort Worth, TX 76133-4953 | 2007-05-09 |
| 1073629986 | Raza A Jafry | Internal Medicine | 1400 S Main St Ste 502, Fort Worth, TX 76104-4909 | 2006-08-22 |
| 1780658708 | Himabindu Ramasahaya Reddy | Internal Medicine | 5450 Clearfork Main St Ste 200, Fort Worth, TX 76109-3562 | 2006-02-15 |
| 1114927779 | Emily M. Isaacs | Internal Medicine | 5450 Clearfork Main St Ste 230, Fort Worth, TX 76109-3562 | 2005-07-26 |
| 1477194819 | Wellness Rheumatology, Pllc | Internal Medicine | 4819 River Oaks Blvd, Fort Worth, TX 76114-3098 | 2019-10-07 |
| 1659806511 | Ayesha Kanwal Do Pllc | Internal Medicine | 4819 Riveroaks Blvd, Fort Worth, TX 76114-3098 | 2017-04-27 |
| 1831586601 | Brooke Samantha Mills | Internal Medicine | 600 S Main St, Fort Worth, TX 76104-2410 | 2015-04-20 |
| 1881957090 | Suneetha Jasty | Internal Medicine | 5450 Clearfork Main St Ste 200, Fort Worth, TX 76109 | 2012-06-21 |
| 1699919340 | Ayesha Kanwal | Internal Medicine | 4819 Riveroaks Blvd, Fort Worth, TX 76114 | 2009-04-24 |
| 1417905225 | Dan Alan Axthelm | Internal Medicine | 7100 Oakmont Blvd, Ste 107, Fort Worth, TX 76132-3911 | 2006-05-04 |
| 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.