COREY R RAINS


Address: 855 Montgomery St, Fort Worth, TX 76107-2553
Phone: 8177352400

COREY R RAINS (NPI# 1366603565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366603565
Entity Type Individual
Full Name COREY R RAINS
Credential PA
Practice Address 855 Montgomery St
Fort Worth
TX 76107-2553
Mailing Address Po Box 99335
Fort Worth
TX 76199-0335
Practice Telephone 8177352400
Enumeration Date 2008-06-19
Last Update Date 2015-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA04889 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 199957501 05
TX BCBS 8539NF 01
TX RAILROAD MEDICARE P01527358 01
TX 199957508 05

Office Location

Street Address 855 MONTGOMERY ST
City FORT WORTH
State TX
Zip Code 76107-2553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831194455 Patricia Lowrimore Psychiatry & Neurology 855 Montgomery St, Fort Worth, TX 76107-2553 2005-06-20
1194353417 Jason L Thompson Student in an Organized Health Care Education/Training Program 855 Montgomery St, Fort Worth, TX 76107-2553 2020-03-31
1639701808 Tyrane Roberts-lagrone Pharmacist 855 Montgomery St, Fort Worth, TX 76107-2553 2020-02-06
1144860917 Melissa Edwards Petersen Clinical Neuropsychologist 855 Montgomery St, Fort Worth, TX 76107-2553 2020-01-09
1629553813 Lisa Jane Killam-worrall Pharmacist 855 Montgomery St, Fort Worth, TX 76107-2553 2018-10-03
1598250607 Sima Taj Mozdbar Optometrist 855 Montgomery St, Fort Worth, TX 76107-2553 2018-06-30
1588153993 Kristen Reuter Social Worker 855 Montgomery St, Fort Worth, TX 76107-2553 2018-05-02
1114431624 Emily J. Clark Counselor 855 Montgomery St, Fort Worth, TX 76107-2553 2017-11-20
1275073215 Elizabeth Svyatoslavna Balyakina Student in an Organized Health Care Education/Training Program 855 Montgomery St, Fort Worth, TX 76107-2553 2017-02-23
1588103659 Frederick Olen Barnum Iv Family Medicine 855 Montgomery St, Fort Worth, TX 76107-2553 2017-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629683602 Renovo Wound and Hyperbarics Pllc Emergency Medicine 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 2020-09-15
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1093351355 Raymond Iannone Pharmacist 850 Montgomery St, Suite #310, Fort Worth, TX 76107 2019-11-21
1053963744 Cumulus Injury Resolution, Inc. Chiropractor 4936 Byers Avenue, Fort Worth, TX 76107 2019-07-12
1770135576 Shadia Osakwe Physician Assistant 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 2019-07-11
1568945442 Sachin P Patel Physical Therapist 4825 Wellesley St, Fort Worth, TX 76107 2018-09-07
1023594025 Ftw Pharmacy Services Inc Durable Medical Equipment & Medical Supplies 2912 W 6th St Ste 150, Fort Worth, TX 76107 2018-07-13
1669974325 Helen Williamson Elliott Counselor 1751 River Run #217, Fort Worth, TX 76107 2018-03-08
1487156931 Pelvic Neuromonitoring Pllc Electrodiagnostic Medicine 111 Boland St #211, Ft Worth, TX 76107 2018-03-01
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811596927 Emily Lau Physician Assistant 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 2020-10-20
1629681952 Anum Bashwani Physician Assistant 5601 Bridge St Ste 450, Fort Worth, TX 76112-2305 2020-08-26
1780200881 Emily Brown Holloway Physician Assistant 1904 Turner Ridge Dr Apt 5202, Fort Worth, TX 76110-2499 2020-06-24
1679196570 Maria Cristela Mosso Physician Assistant 4521 S Hulen St Ste 118, Fort Worth, TX 76109-4954 2020-05-26
1679195978 Jacob Torre Physician Assistant 1701 River Run Ste 1118, Fort Worth, TX 76107-6557 2020-05-11
1871122382 Kenaud Jeune Physician Assistant 5817 Fairglen Ave Apt 312, Fort Worth, TX 76137-6810 2020-04-06
1922635648 Lauren Elizabeth Studey Physician Assistant 3470 Sagecrest Ter, Fort Worth, TX 76109-2555 2020-03-24
1033743612 James Bregg Reedy Physician Assistant 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 2020-02-24
1992335194 Alexandria Christine Rios Physician Assistant 5904 Rockhill Rd, Fort Worth, TX 76112-3047 2020-01-16
1982253605 Kelly Ann Klein Physician Assistant 6708 River Bend Rd, Fort Worth, TX 76132-1108 2019-09-05
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Competitor

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City FORT WORTH
Zip Code 76107

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Dataset Information

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.

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