GERALD L CHASE (NPI# 1396785051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396785051 |
| Entity Type | Individual |
| Full Name | GERALD L CHASE |
| Credential | MD |
| Practice Address |
1301 Pennsylvania Ave Fort Worth TX 76104-2122 |
| Mailing Address |
Po Box 8549 Fort Worth TX 76124-0549 |
| Practice Telephone | 8178822000 |
| Mailing Telephone | 8174514208 |
| Mailing Fax Number | 8175633699 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | K6547 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0072DD | 01 |
| TX | 030232501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720061468 | Gerald J Chase | Internal Medicine | 103 Millbury St, Auburn, MA 01501-3205 | 2005-11-28 |
| Street Address |
1301 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227257 | Robert Louis Quillin | Pediatrics | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2005-07-05 |
| 1003414996 | Jana Mitchell | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-10-13 |
| 1730799941 | Brin Alexandra Morris | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1871103168 | Niki Sheth | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1033736863 | Molly Taylor | Respiratory Therapist, Registered | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-27 |
| 1215554175 | Suja Varghese | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1538786470 | Amanda A Viehmann | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1376169599 | Heather Nicole Le | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-23 |
| 1750904249 | Kelli Renee Vogler | Physician Assistant | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-19 |
| 1598387169 | Alim Virji | Radiology | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-17 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656176 | Summit Emergency Medicine Pllc | Emergency Medicine | 2501 W 7th St Ste 101, Fort Worth, TX 76107-8014 | 2020-07-08 |
| 1720587314 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 5700 N Tarrant Pkwy, Fort Worth, TX 76244-7203 | 2018-02-08 |
| 1376090472 | Texacare Urgent Care, Pllc | Emergency Medicine | 3107 Greene Ave Ste 1, Fort Worth, TX 76109-2319 | 2016-09-06 |
| 1194145607 | Jim Carmical | Emergency Medicine | 4th Floor 1500 S. Main, Family Health Center Jps, Fort Worth, TX 76104 | 2014-04-23 |
| 1831533827 | J Mack Slaughter Jr. | Emergency Medicine | 5658 Full Moon Ct, Fort Worth, TX 76132-2533 | 2013-04-22 |
| 1952642043 | Innovative Emergency Physicians of Frisco P.a. | Emergency Medicine | 6300 Ridglea Place, Suite 201, Fort Worth, TX 76116-5707 | 2013-03-14 |
| 1376787606 | Apram Basra | Emergency Medicine | 900 Matisse Dr Apt 4001, Fort Worth, TX 76107-2483 | 2009-04-30 |
| 1255599767 | Rosalia Njeri Mbugua | Emergency Medicine | 1575 Main St, Fort Worth, TX 76104 | 2008-05-30 |
| 1215136510 | Ralph Fredrick Baine | Emergency Medicine | 6451 Brentwood Stair Road, Suite 200, Fort Worth, TX 76112 | 2007-07-16 |
| 1982805321 | Corey J. Mayfield | Emergency Medicine | 6451 Brentwood Stair Rd., #200, Fort Worth, TX 76112 | 2007-05-31 |
| 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.