THE FORT WORTH CLINIC PA (NPI# 1366442931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366442931 |
| Entity Type | Organization |
| Organization Name | THE FORT WORTH CLINIC PA |
| Practice Address |
909 9th Ave Ste 300 Fort Worth TX 76104-3903 |
| Practice Telephone | 8173367191 |
| Practice Fax Number | 8173323172 |
| Mailing Telephone | 8173367191 |
| Mailing Fax Number | 8173323172 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS HIGHFIELD (ADMINISTRATOR) |
| Authorized Official Telephone | 8173367191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | TX | Ambulatory Health Care Facilities |
| Street Address |
909 9TH AVE STE 300 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339373 | Shola Philip Akinfiresoye | Family Medicine | 909 9th Ave, Fort Worth, TX 76104-3903 | 2017-11-10 |
| 1083090062 | Bradley Maddy | Physician Assistant | 909 9th Ave, Suite 208, Fort Worth, TX 76104-3903 | 2015-07-31 |
| 1740690965 | Epic Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 909 9th Ave, Suite 201, Fort Worth, TX 76104-3903 | 2014-04-28 |
| 1083036727 | Minimally Invasive Surgery Specialist Pllc | Surgery | 909 9th Ave, Suite 208, Fort Worth, TX 76104-3903 | 2014-01-15 |
| 1053744540 | Neurosurgical Associates of North Texas Pllc | Neurological Surgery | 909 9th Ave, Suite 201, Fort Worth, TX 76104-3903 | 2013-08-20 |
| 1801154125 | Trinity Diagnostic Clinic, Pa | Internal Medicine | 909 9th Ave, Suite 405, Fort Worth, TX 76104-3903 | 2012-04-24 |
| 1487910964 | Plaza Transplant Center, Pllc | Transplant Surgery | 909 9th Ave, Suite 400, Fort Worth, TX 76104-3903 | 2012-04-09 |
| 1851668925 | Fort Worth Vascular and Surgical Associates, Pa | Surgery | 909 9th Ave, Suite 201, Fort Worth, TX 76104-3903 | 2011-11-17 |
| 1003127754 | Mohamad Saad Do Pllc | Surgery | 909 9th Ave, Suite 208, Fort Worth, TX 76104-3903 | 2010-06-28 |
| 1386967404 | Dr. Sorokolit, M.d., P.a | Plastic Surgery | 909 9th Ave, Ste 200, Fort Worth, TX 76104-3903 | 2010-03-03 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1730731688 | Bebd Telehealth | Clinic/Center | 2009 Tremont Ave, Fort Worth, TX 76107-3959 | 2019-07-11 |
| 1821594045 | Goshen Family Clinic, Inc. | Clinic/Center | 5225 Hunters Ridge Rd, # 715, Fort Worth, TX 76132-1853 | 2018-04-05 |
| 1629527312 | Midtown Medical Imaging - Alliance | Clinic/Center | 9557 N. Beach St., Suite 101, Fort Worth, TX 76244 | 2016-09-23 |
| 1497008411 | Dr Mark Smith Pa | Clinic/Center | 7100 Oakmont Blvd. # 108, Fort Worth, TX 76132-3908 | 2012-10-16 |
| 1033461017 | Dr. Mark Smith Pa | Clinic/Center | 7100 Oakmont Bvld Suite 108, Fort Worth, TX 76132-3908 | 2012-10-15 |
| 1407049034 | University Family Medical Clinic P.a. | Clinic/Center | 117 University Dr, Fort Worth, TX 76107-1922 | 2007-08-27 |
| 1912045279 | Hmr Management Corporation | Clinic/Center | 901 W Leuda St, Fort Worth, TX 76104-3003 | 2007-02-01 |
| 1952396004 | Motus Center, Inc. | Clinic/Center | 3857 Washburn Ave, Fort Worth, TX 76107-3954 | 2005-09-14 |
| 1326539552 | Frontier Medical House Call Service LLC | Clinic/Center | 308 Autumn Park, Fort Worth, TX 76140 | 2018-05-23 |
| 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.