RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA (NPI# 1407146384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407146384 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA |
| Other Organization Name | RADIOLOGY ASSOCIATES OF TARRANT COUNTY PA |
| Practice Address |
816 W Cannon St Credentialing 1407146384 Fort Worth TX 76104-3146 |
| Practice Telephone | 8173210387 |
| Practice Fax Number | 4695226889 |
| Mailing Telephone | 8173210387 |
| Mailing Fax Number | 4695226889 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. DAVID R PHELPS (PRESIDENT) |
| Authorized Official Telephone | 8173210312 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121715005 | 05 | |
| TX | 121715008 | 05 | |
| TX | NPI | 1407146387 | 01 |
| TX | 285250104 | 05 | |
| TX | 121715004 | 05 | |
| TX | NPI | 1861782740 | 01 |
| TX | 121715009 | 05 | |
| TX | 285250105 | 05 |
| Other Name | Type Code |
|---|---|
| Radiology Associates of Tarrant County PA | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970975 | Radiology Associates of North Texas, Pa | Radiology | 816 W Cannon St, Credentialing 1710970975, Fort Worth, TX 76104-3146 | 2005-08-23 |
| 1861782740 | Radiology Associates of North Texas, Pa | Radiology | 816 W Cannon St, Credentialing 1861782740, Fort Worth, TX 76104-3146 | 2011-04-13 |
| Street Address |
816 W CANNON ST CREDENTIALING 1407146384 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970975 | Radiology Associates of North Texas, Pa | Radiology | 816 W Cannon St, Credentialing 1710970975, Fort Worth, TX 76104-3146 | 2005-08-23 |
| 1124664982 | Brilyn Akerley | Physician Assistant | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2019-11-26 |
| 1730539339 | Shanna Micheal Sherwood | Physician Assistant | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2016-06-15 |
| 1518386325 | Jeremy Thomas Hall | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2014-04-09 |
| 1164849154 | Mohammad Toliyat | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2014-03-27 |
| 1861782740 | Radiology Associates of North Texas, Pa | Radiology | 816 W Cannon St, Credentialing 1861782740, Fort Worth, TX 76104-3146 | 2011-04-13 |
| 1629397245 | Daniel R. Eickenhorst | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2010-05-21 |
| 1508020736 | Steven Matthew Sharatz | Internal Medicine | 816 W Cannon St, Apt. 3, Fort Worth, TX 76104-3146 | 2008-07-16 |
| 1568620789 | Jonathan Martin Williams | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2008-05-23 |
| 1811164452 | Auzhand Yeganeh Zonozy | Radiology | 816 W Cannon St, Fort Worth, TX 76104-3146 | 2008-05-13 |
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| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 |
|---|---|---|---|---|
| 1619389392 | Thomas Fikar | Radiology | 8216 Deerwood Forest Dr, Fort Worth, TX 76126-5181 | 2014-05-29 |
| 1487939328 | Fort Worth Radiology, Pllc | Radiology | 2603 8th Ave Ste D, Suite D, Fort Worth, TX 76110-3000 | 2011-10-11 |
| 1730331380 | Steven L. Hsu | Radiology | 5750 Stratum Dr, Fort Worth, TX 76137-2757 | 2008-10-15 |
| 1841468360 | Walworth Edward Burge | Radiology | 815 Pennsylvainia Ave, Fort Worth, TX 76104-2224 | 2008-02-19 |
| 1306034699 | Pin Point Radiology Management Seaford Pa | Radiology | 1412 W Magnolia Ave, Suite 100, Fort Worth, TX 76104-4378 | 2007-10-11 |
| 1689897977 | Stephen Melvyn Lobo | Radiology | 815 Pennsylvania Avenue, Fort Worth, TX 76104-2224 | 2007-04-11 |
| 1235269119 | Texas Health Care, P.l.l.c. | Radiology | 3800 Hulen, Suite 100, Fort Worth, TX 76107-7270 | 2007-03-07 |
| 1245360171 | Texas Health Care, P.l.l.c. | Radiology | 800 W Magnolia Ave Ste 100, Fort Worth, TX 76104-4611 | 2007-03-07 |
| 1932254679 | Envision Imaging of North Fort Worth | Radiology | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2007-01-24 |
| 1033160015 | Monticello Diagnostic Imaging Lp | Radiology | 3712 W 7th Street, Suite A, Fort Worth, TX 76107 | 2006-05-13 |
| 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.