DR. JOHN LICCIARDONE


Address: Unthsc Patient Care Center, 999 Montgomery, Fort Worth, TX 76107
Phone: 8177352235

DR. JOHN LICCIARDONE (NPI# 1407829641) 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) 1407829641
Entity Type Individual
Full Name DR. JOHN LICCIARDONE
Credential D.O.
Practice Address Unthsc Patient Care Center
999 Montgomery
Fort Worth
TX 76107
Mailing Address Unthsc Dept. of Quality Management
3500 Camp Bowie Blvd., Ead 324
Fort Worth
TX 76107
Practice Telephone 8177352235
Practice Fax Number 8177352480
Mailing Telephone 8177350170
Mailing Fax Number 8177350111
Enumeration Date 2006-02-08
Last Update Date 2008-03-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204D00000X Neuromusculoskeletal Medicine & OMM H3103 TX Allopathic & Osteopathic Physicians

Office Location

Street Address UNTHSC PATIENT CARE CENTER
999 MONTGOMERY
City FORT WORTH
State TX
Zip Code 76107

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
Find all providers in zip 76107

Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition]
- Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922489103 Dante Paredes Neuromusculoskeletal Medicine & OMM 855 Montgomery St Fl 2, Fort Worth, TX 76107-2553 2015-06-14
1710367446 Marissa May Zajac Neuromusculoskeletal Medicine & OMM 5521 Bellaire Dr S Ste 114b, Fort Worth, TX 76109-5855 2015-06-08
1366498438 David Edward Teitelbaum Neuromusculoskeletal Medicine & OMM 4455 Camp Bowie Blvd, Suite 214, Fort Worth, TX 76107-3864 2006-05-26
1275506644 Scott T Stoll Neuromusculoskeletal Medicine & OMM 5717 Edwards Ranch Rd, Fort Worth, TX 76109-4116 2006-02-08
1144209552 Richard Todd Dombroski Neuromusculoskeletal Medicine & OMM 6913 Camp Bowie Blvd Ste 107, Fort Worth, TX 76116-7164 2006-01-13
1548623044 Nathan Williams Neuromusculoskeletal Medicine & OMM 855 Montgomery St Fl 2, Fort Worth, TX 76107-2553 2016-04-01
1013384775 Lesley Schmitz D.o. and Associates Neuromusculoskeletal Medicine & OMM 4545 Bellaire Dr S, Suite 200, Fort Worth, TX 76109-1889 2015-08-28
1700267481 Matthew Barker Neuromusculoskeletal Medicine & OMM 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2015-06-18
1609257971 Malinda Hansen Neuromusculoskeletal Medicine & OMM 855 Montgomery St, Fort Worth, TX 76107-2553 2015-06-12
1174930408 Kevin Holmewood Neuromusculoskeletal Medicine & OMM 3500 Camp Bowie Blvd, Pcc 2nd Floor; PCc 6th Floor, Fort Worth, TX 76107-2644 2014-07-18
Find all providers in FORT WORTH

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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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