SHORTWAVE DIAGNOSTICS LLC (NPI# 1366972697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366972697 |
| Entity Type | Organization |
| Organization Name | SHORTWAVE DIAGNOSTICS LLC |
| Practice Address |
3501 Sycamore School Rd Ste 125 Pmb #312 Fort Worth TX 76133-7826 |
| Practice Telephone | 4692831992 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-11-17 |
| Authorized Official Name | TIMOTHY DELONG (NPI REPRESENTATIVE) |
| Authorized Official Telephone | 2105982800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3501 SYCAMORE SCHOOL RD STE 125 PMB #312 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76133-7826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896973 | Velocity Neuro, LLC | Psychiatry & Neurology | 7555 Deerlodge Trl, Fort Worth, TX 76137-4138 | 2017-12-11 |
| 1568977783 | Velocity Iom, LLC | Psychiatry & Neurology | 7555 Deerlodge Trl, Fort Worth, TX 76137-4138 | 2017-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195307 | Quor Health Iom LLC | Psychiatry & Neurology | 950 Threadneedle St Ste 120, Houston, TX 77079-2903 | 2020-08-17 |
| 1811516503 | Onetwo Stars | Psychiatry & Neurology | 118 Broadway St Ste 221, San Antonio, TX 78205-2088 | 2020-04-13 |
| 1740832120 | Southwest Neurophysiology, Pllc | Psychiatry & Neurology | 800 W Arbrook Blvd Ste 340, Arlington, TX 76015-4317 | 2019-07-15 |
| 1902467640 | Advanced Neurophysiology Associates PC | Psychiatry & Neurology | 136 Eldridge Rd Ste A, Sugar Land, TX 77478-4646 | 2019-06-24 |
| 1316461304 | Cns Neueospinemonitoring Pllc | Psychiatry & Neurology | 26 E. Loftwood Cir, The Woodlands, TX 77382 | 2017-08-01 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1225421829 | Alamo City Neurodiagnostics, Pllc | Psychiatry & Neurology | 14439 Nw Military Highway, Ste 108 #301, San Antonio, TX 78231-1648 | 2015-03-06 |
| 1912307216 | Nerve & Cord Monitoring, Pllc | Psychiatry & Neurology | 5706 E Mockingbird Lane, Ste 115 #404, Dallas, TX 75206-5461 | 2014-08-25 |
| 1477960128 | Cushing Neuromonitoring, Pllc | Psychiatry & Neurology | 3824 Ceder Spring Road, #380, Dallas, TX 75219 | 2014-07-15 |
| 1336562958 | Christopher Pierce | Psychiatry & Neurology | 1100 Glade Rd # 2, Colleyville, TX 76034 | 2014-02-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76133 |
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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.