TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH (NPI# 1407866064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407866064 |
| Entity Type | Organization |
| Organization Name | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH |
| Practice Address |
1301 Pennsylvania Ave Fort Worth TX 76104-2122 |
| Mailing Address |
500 E Border St Arlington TX 76010-7445 |
| Practice Telephone | 8178823770 |
| Practice Fax Number | 8178823781 |
| Mailing Telephone | 8175708500 |
| Mailing Fax Number | 6822364620 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2017-02-24 |
| Authorized Official Name | MRS. LILLIE BIGGINS (PRESIDENT HMFW & EVP THR) |
| Authorized Official Telephone | 8178822106 |
| Is Organization Subpart | Y |
| Parent Organization Name | HARRIS METHODIST FORT WORTH HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
000000235 | TX | Allopathic & Osteopathic Physicians |
| Y | 282N00000X | General Acute Care Hospital | 000235 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAILROAD | CD6895 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851439137 | Texas Health Harris Methodist Hospital Fort Worth | Clinic/Center | 1512 Pennsylvania Avenue, Fort Worth, TX 76104-2122 | 2007-02-01 |
| 1043681356 | Texas Health Harris Methodist Hospital Fort Worth | Clinic/Center | 1301 Pennsylvania Ave, Ft Worth, TX 76104-2122 | 2015-10-13 |
| 1912130774 | Texas Health Harris Methodist Hospital Fort Worth | Clinical Medical Laboratory | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 | 2009-08-27 |
| 1972637619 | Texas Health Harris Methodist Hospital Fort Worth | Chronic Disease Hospital | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2007-03-15 |
| 1538292990 | Texas Health Harris Methodist Hospital Fort Worth | Clinic/Center | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2007-03-14 |
| 1710061023 | Texas Health Harris Methodist Hospital Fort Worth | Rehabilitation Unit | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-10-24 |
| 1336172105 | Texas Health Harris Methodist Hospital Fort Worth | Clinic/Center | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-07-07 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972950418 | Angela Ehlen | General Acute Care Hospital | 517 Stone Crossing Ln, Fort Worth, TX 76140-7503 | 2016-05-14 |
| 1407229529 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2015-11-11 |
| 1831515550 | Forest Park Mecial Center At Fort Worth, LLC | General Acute Care Hospital | 5400 Clearfork Main St, Fort Worth, TX 76107 | 2014-03-06 |
| 1275884165 | Federal Bureau of Prisons | General Acute Care Hospital | J Street, Bldg 3000, Fmc Carswell, Fort Worth, TX 76127-7066 | 2012-10-02 |
| 1568656502 | Usmd Hospital At Fort Worth, L.p. | General Acute Care Hospital | 5900 Dirks Rd, Fort Worth, TX 76132-5473 | 2007-09-04 |
| 1871599183 | Fort Worth Surgicare Partners, Ltd. | General Acute Care Hospital | 1800 Park Place Ave, Fort Worth, TX 76110-1302 | 2005-06-22 |
| 1427682137 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2020-03-03 |
| 1003208091 | Victory Medical Center Fort Worth, Lp | General Acute Care Hospital | 600 South Main, Fort Worth, TX 76104 | 2015-02-27 |
| 1649681412 | John Peter Smith Hospital | General Acute Care Hospital | 1500 S Main St, Fort Worth, TX 76104-4917 | 2014-05-15 |
| 1871911016 | North Texas - Mca LLC | General Acute Care Hospital | 3101 N Tarrant Pkwy, Fort Worth, TX 76177-8601 | 2014-04-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH.
| 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.