PENNY ELAINE GORE (NPI# 1558796375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558796375 |
| Entity Type | Individual |
| Full Name | PENNY ELAINE GORE |
| Credential | RN |
| Practice Address |
1101 S Main St Ft Worth TX 76104-4802 |
| Mailing Address |
2400 Presidential Dr Cleburne TX 76031-0303 |
| Practice Telephone | 8173214700 |
| Mailing Telephone | 6824726651 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
555439 | TX | Ambulatory Health Care Facilities |
| Street Address |
1101 S MAIN ST |
| City | FT WORTH |
| State | TX |
| Zip Code | 76104-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528481538 | Karen Gustafsson | Clinic/Center | 1101 S Main St, Ft Worth, TX 76104-4802 | 2014-01-27 |
| 1386067387 | Kimberly Elizabeth Sperling | Registered Nurse | 1101 S Main St, Ft Worth, TX 76104-4802 | 2014-01-27 |
| 1477823599 | Margaret Esther Collazo | Licensed Vocational Nurse | 1101 S Main St, Ft Worth, TX 76104-4802 | 2012-01-05 |
| 1386913457 | Ellen M Lawrence | Licensed Vocational Nurse | 1101 S Main St, Suite 1600, Ft Worth, TX 76104-4802 | 2011-12-20 |
| 1124323191 | Tarrant County Public Health Dept. | Public Health or Welfare | 1101 S Main St, #1600, Ft Worth, TX 76104-4802 | 2011-01-21 |
| 1790088375 | Jerrell Russ Brown | Licensed Vocational Nurse | 1101 S Main St, Ft Worth, TX 76104-4802 | 2010-12-21 |
| 1972806974 | Beth Ann Taylor | Licensed Vocational Nurse | 1101 S Main St, Suite 1600, Ft Worth, TX 76104-4802 | 2010-12-13 |
| 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 | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528481538 | Karen Gustafsson | Clinic/Center | 1101 S Main St, Ft Worth, TX 76104-4802 | 2014-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126146 | Harris County Public Health & Environmental Services- Riley Chambers | Clinic/Center | 808 1/2 Magnolia Ave, Crosby, TX 77532-6969 | 2019-10-17 |
| 1740508076 | Tarrant County Public Health | Clinic/Center | 1101 S Main St Rm 1500, Preventive Medicine Clinic, Fort Worth, TX 76104-4802 | 2010-05-11 |
| 1669620159 | Bell County Public Heatlh District | Clinic/Center | 309 N 2nd St, Killeen, TX 76541-5204 | 2008-09-09 |
| 1750555678 | City of Houston Health Department | Clinic/Center | Riverside Clinic, 3315 Delano, Houston, TX 77004 | 2008-04-22 |
| 1699973610 | Ibn Sina Foundation | Clinic/Center | 11226 S. Wilcrest Dr., Houston, TX 77099-4313 | 2007-07-11 |
| 1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
| 1316155880 | Comal County | Clinic/Center | 1297 Church Hill Dr Ste 102, New Braunfels, TX 78130 | 2007-05-18 |
| 1144344102 | Harris County Public Health & Environmental Services Laporte Clinic | Clinic/Center | 1009 S Broadway St, La Porte, TX 77571-5327 | 2007-03-16 |
| 1255455200 | Harris County Public Health & Environmental Services-humble Clinic | Clinic/Center | 1730 Humble Place Dr, Humble, TX 77338-5275 | 2007-03-16 |
| 1144352881 | Brazos County | Clinic/Center | 201 N Texas Ave, Bryan, TX 77803-5317 | 2007-03-09 |
| Find all providers with the same taxonomy | ||||
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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.