DR. DAN ALAN AXTHELM (NPI# 1417905225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417905225 |
| Entity Type | Individual |
| Full Name | DR. DAN ALAN AXTHELM |
| Credential | M.D. |
| Practice Address |
7100 Oakmont Blvd Ste 107 Fort Worth TX 76132-3911 |
| Practice Telephone | 8177641894 |
| Practice Fax Number | 8173467545 |
| Mailing Telephone | 8177641894 |
| Mailing Fax Number | 8173467545 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
H3439 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | POOD7434 | 05 |
| Street Address |
7100 OAKMONT BLVD STE 107 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679568075 | Donita J Roch | Family Medicine | 7100 Oakmont Blvd, Suite 101, Fort Worth, TX 76132-3909 | 2005-09-13 |
| 1851762603 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 7100 Oakmont Blvd, Fort Worth, TX 76132-3900 | 2015-10-19 |
| 1326219809 | Gregory A Jaryga PC | Podiatrist | 7100 Oakmont Blvd, Suite 208, Fort Worth, TX 76132-3911 | 2008-03-12 |
| 1497945877 | Jack F. Hardwick,m.d.,p.a. | Family Medicine | 7100 Oakmont Blvd, Suite 204, Fort Worth, TX 76132-3900 | 2007-07-31 |
| 1831213966 | Lynellen C Craig | Registered Nurse | 7100 Oakmont Blvd, Ste 207, Fort Worth, TX 76132-3900 | 2007-03-16 |
| 1760552616 | Yiling Kao | Emergency Medicine | 7100 Oakmont Blvd, Fort Worth, TX 76132-3900 | 2006-11-08 |
| 1215013511 | West Texas Internal Medicine Clinic | Specialist | 7100 Oakmont Blvd, Suite 105, Fort Worth, TX 76132-3900 | 2006-10-29 |
| 1891806170 | Mylinh Thien Vu | Specialist | 7100 Oakmont Blvd, Suite 108, Fort Worth, TX 76132-3900 | 2006-08-31 |
| 1841309622 | Angela E Slagle | Registered Nurse | 7100 Oakmont Blvd, Fort Worth, TX 76132-3900 | 2006-08-29 |
| 1417066200 | Surgical Nurse First Assist, PC | Registered Nurse | 7100 Oakmont Blvd, Fort Worth, TX 76132-3900 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164636072 | Rajni Kalagate | Internal Medicine | 6601 Dan Danciger Rd Ste 100, Fort Worth, TX 76133-4953 | 2007-05-09 |
| 1073629986 | Raza A Jafry | Internal Medicine | 1400 S Main St Ste 502, Fort Worth, TX 76104-4909 | 2006-08-22 |
| 1356317051 | R Larry Marshall Md Pa | Internal Medicine | 1650 W Rosdale, Ste 302, Fort Worth, TX 76104 | 2006-02-23 |
| 1780658708 | Himabindu Ramasahaya Reddy | Internal Medicine | 5450 Clearfork Main St Ste 200, Fort Worth, TX 76109-3562 | 2006-02-15 |
| 1114927779 | Emily M. Isaacs | Internal Medicine | 5450 Clearfork Main St Ste 230, Fort Worth, TX 76109-3562 | 2005-07-26 |
| 1477194819 | Wellness Rheumatology, Pllc | Internal Medicine | 4819 River Oaks Blvd, Fort Worth, TX 76114-3098 | 2019-10-07 |
| 1659806511 | Ayesha Kanwal Do Pllc | Internal Medicine | 4819 Riveroaks Blvd, Fort Worth, TX 76114-3098 | 2017-04-27 |
| 1831586601 | Brooke Samantha Mills | Internal Medicine | 600 S Main St, Fort Worth, TX 76104-2410 | 2015-04-20 |
| 1881957090 | Suneetha Jasty | Internal Medicine | 5450 Clearfork Main St Ste 200, Fort Worth, TX 76109 | 2012-06-21 |
| 1699919340 | Ayesha Kanwal | Internal Medicine | 4819 Riveroaks Blvd, Fort Worth, TX 76114 | 2009-04-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
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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.