RADIOLOGY ASSOCIATES OF NORTH TEXAS (NPI# 1396806444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396806444 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY ASSOCIATES OF NORTH TEXAS |
| Other Organization Name | PET/CT CENTER OF FORT WORTH |
| Practice Address |
800 W Magnolia Ave Suite 100 Fort Worth TX 76104-4611 |
| Mailing Address |
816 W Cannon St Fort Worth TX 76104-3146 |
| Practice Telephone | 8173210312 |
| Practice Fax Number | 8173177033 |
| Mailing Telephone | 8173210312 |
| Mailing Fax Number | 8173177033 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-08-31 |
| Authorized Official Name | DR. JOHN A QUERALT (PRESIDENT) |
| Authorized Official Telephone | 8173210312 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
TX | Allopathic & Osteopathic Physicians | |
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PET/CT Center of Fort Worth | Other Name - Individual/Organization |
| Street Address |
800 W MAGNOLIA AVE SUITE 100 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306821277 | Laboratory Corporation of America | Clinical Medical Laboratory | 800 W Magnolia Ave, Ste 210, Fort Worth, TX 76104-4611 | 2005-12-13 |
| 1659929933 | Angela Moccia | Physician Assistant | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2019-08-29 |
| 1487207031 | Kourtney Russo | Nurse Practitioner | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2019-07-23 |
| 1831750249 | Renata Castelo | Physician Assistant | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2019-06-26 |
| 1083194039 | Elise Kay Decker | Physical Therapist | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2018-08-20 |
| 1770093635 | Nicholas Yarrobino | Physician Assistant | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2017-10-05 |
| 1700220183 | Nabila Lehachi Waheed | Radiology | 800 W Magnolia Ave, Fort Worth, TX 76104 | 2013-04-29 |
| 1326482860 | Rohan Gupta | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2013-04-27 |
| 1013250455 | Jeremy Aaron Ross | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2013-04-04 |
| 1447544838 | Asim Ahmad | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2011-06-03 |
| 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 | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269616 | Patrick W. Barr | Radiology | 816 Pennsylvania Ave, Fort Worth, TX 76104-2224 | 2005-07-20 |
| 1861782740 | Radiology Associates of North Texas, Pa | Radiology | 816 W Cannon St, Credentialing 1861782740, Fort Worth, TX 76104-3146 | 2011-04-13 |
| 1740486331 | Jason Wayne Wachsmann | Radiology | 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144567652 | Metroplex Radiology Pllc | Radiology | 908 Brownfield Dr, Mesquite, TX 75150-4359 | 2013-01-04 |
| 1003188376 | Interventional, Vascular & Diagnostic Associates, Pa | Radiology | 16 Crestwood Dr, Houston, TX 77007-7007 | 2012-02-02 |
| 1396881363 | Mid County Diagnostics Inc | Radiology | 2501 Jimmy Johnson Blvd., Suite 500, Port Arthur, TX 77640 | 2007-01-29 |
| 1720147838 | Radiology Associates of North Texas Pa | Radiology | 4601 Matlock Rd, Arlington, TX 76018-1005 | 2006-12-06 |
| 1588774178 | Hamid Ahmadi | Radiology | 5820 Covehaven Dr, Dallas, TX 75252-5228 | 2006-08-30 |
| 1427014117 | Stephen Raymond Bunker | Radiology | 2712 Bee Caves Rd, Suite #122, Austin, TX 78746-5676 | 2006-04-22 |
| 1790747921 | Mir Z Alikhan | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2006-04-04 |
| 1891764239 | Michael Edward Collier | Radiology | 614 Griffith Ave, Terrell, TX 75160-1671 | 2006-03-17 |
| 1033180088 | Shahin Nassirkhani | Radiology | 3551 Roger Brooke Dr Ofc, San Antonio, TX 78234-4504 | 2006-01-29 |
| 1245201268 | Varadareddy T Reddy | Radiology | 5001 Andrews Hwy, Midland, TX 79703 | 2006-01-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on RADIOLOGY ASSOCIATES OF NORTH TEXAS.
| 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.