LEGACY HEART CARE OF CHARLOTTE, LLC (NPI# 1467810663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467810663 |
| Entity Type | Organization |
| Organization Name | LEGACY HEART CARE OF CHARLOTTE, LLC |
| Practice Address |
2500 West Fwy Ste 200 Fort Worth TX 76102-5848 |
| Mailing Address |
300 Billingsley Rd Ste 101 Charlotte NC 28211-1075 |
| Practice Telephone | 8174234400 |
| Practice Fax Number | 8174238080 |
| Mailing Telephone | 7043341401 |
| Mailing Fax Number | 7043341471 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | MICHAEL B GRATCH (CEO) |
| Authorized Official Telephone | 8174234400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
2500 WEST FWY STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497741540 | Legacy Heart Care Inc | Internal Medicine | 2500 West Fwy, Ste 300, Fort Worth, TX 76102-5848 | 2005-09-23 |
| 1972969806 | Legacy Heart Care, LLC | Internal Medicine | 2500 West Fwy, Ste 200, Fort Worth, TX 76102-5848 | 2016-01-07 |
| 1285057935 | Legacy Heart Care of San Antonio | Internal Medicine | 2500 West Fwy, 200, Fort Worth, TX 76102-5848 | 2014-01-31 |
| 1184056673 | Kollin James Terrell | Physical Therapist | 2500 West Fwy, #100, Fort Worth, TX 76102-5848 | 2013-08-06 |
| 1407293269 | Hazel Rebekah Mccluskey | Physical Therapist | 2500 West Fwy, Suite 100, Fort Worth, TX 76102-5848 | 2013-06-03 |
| 1356506752 | Legacy Heart Care of Fort Worth LLC | Physician Assistant | 2500 West Fwy, Suite 200, Fort Worth, TX 76102-5848 | 2008-07-24 |
| 1538280706 | Mark E Morris | Preventive Medicine | 2500 West Fwy, Suite 100, Fort Worth, TX 76102-5848 | 2007-04-03 |
| 1740300219 | Linda S Mccaskill | Physical Therapist | 2500 West Fwy, Suite 100, Fort Worth, TX 76102-5848 | 2007-03-30 |
| 1760502561 | Jennifer K Bennett | Physical Therapist | 2500 West Fwy, Suite 100, Fort Worth, TX 76102-5848 | 2007-03-29 |
| 1184743007 | Roy G Kreusel | Preventive Medicine | 2500 West Fwy, Suite 100, Fort Worth, TX 76102-5848 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1083195648 | Ff Corporation Pllc | Internal Medicine | 7100 Oakmont Blvd Ste No201, Fort Worth, TX 76132-3900 | 2018-08-22 |
| 1376918292 | Makd Heart & Vascular LLC | Internal Medicine | 1401 8th Avenue, Fort Worth, TX 76104-3915 | 2015-12-03 |
| 1528436565 | Davinci Medical, LLC | Internal Medicine | 6809 Sawgrass Dr, Fort Worth, TX 76132-7103 | 2015-09-08 |
| 1831485192 | Fahmi Jasmin Farah | Internal Medicine | 7100 Oakmont Blvd Ste 201, Fort Worth, TX 76132-3908 | 2011-06-24 |
| 1659664100 | Pro Health Diagnostics of North Texas Pa | Internal Medicine | 1904 Canterbury Drive, Fort Worth, TX 76107-3514 | 2011-05-17 |
| 1396936357 | Farhan Ali | Internal Medicine | 1017 12th Avenue, Fort Worth, TX 76104-0000 | 2007-08-06 |
| 1619021714 | Benedict Anthony Termini | Internal Medicine | 8520 Meadowbrook Dr, Fort Worth, TX 76120-5204 | 2007-01-23 |
| 1932294469 | Saritha Dodla | Internal Medicine | 4324 Heritage Trace Pkwy, Ste 808, Fort Worth, TX 76244-9127 | 2006-10-03 |
| 1316039795 | Muhammad A Qureshi | Internal Medicine | 3403 N Beach St, Fort Worth, TX 76111-6305 | 2006-09-29 |
| 1134233588 | Mohanakrishnan Sathyamoorthy | Internal Medicine | 1121 5th Ave Ste 100, Fort Worth, TX 76104-4386 | 2006-08-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
Please comment or provide details below to improve the information on LEGACY HEART CARE OF CHARLOTTE, LLC.
| 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.