MR. MOHAMAD ZIA SIDDIQUI (NPI# 1568742666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568742666 |
| Entity Type | Individual |
| Full Name | MR. MOHAMAD ZIA SIDDIQUI |
| Credential | D.O. |
| Practice Address |
6451 Brentwood Stair Rd Ste 200 Fort Worth TX 76112-3200 |
| Mailing Address |
5870 N Hiatus Rd Tamarac FL 33321-6424 |
| Practice Telephone | 9722490206 |
| Mailing Telephone | 8884472362 |
| Mailing Fax Number | 8655607110 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | S2509 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 278779 | NY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 278779-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04349060 | 05 |
| Street Address |
6451 BRENTWOOD STAIR RD STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689695512 | Delbe D Meelhuysen | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | 2006-07-23 |
| 1477028538 | Jennifer Renee Follis | Nurse Practitioner | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | 2018-10-04 |
| 1457730517 | Michael Ernst | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | 2015-05-22 |
| 1144616004 | Mark Edward Tschirhart | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | 2015-04-07 |
| 1922413475 | Christopher Don Skillern | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | 2014-06-24 |
| 1245675115 | Dennis J Heard II | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | 2013-05-06 |
| 1588919963 | Shannon Kelsey Della Monica | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | 2012-07-20 |
| 1790042844 | Jeremy Scott Brady | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | 2012-04-13 |
| 1750672655 | Tam Minh Huynh | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | 2011-04-26 |
| 1104115898 | Stewart Alan Master | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112 | 2011-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1952870354 | Nancy Carolina Nicoloso | Family Medicine | 6302 Lake Worth Blvd Ste A3963, Fort Worth, TX 76135-3607 | 2018-11-15 |
| 1245717586 | Julia Dubose | Family Medicine | 4100 Heritage Trace Pkwy Ste 116, Fort Worth, TX 76244 | 2018-07-19 |
| 1609307115 | Yara Hamade Gonzales | Family Medicine | 4701 Bryant Irvin Rd, Fort Worth, TX 76132-3603 | 2017-03-26 |
| 1558732321 | Andres Morgado Perez | Family Medicine | 1325 Pennsylvania Ave Ste 750, Fort Worth, TX 76104-2168 | 2015-10-19 |
| 1114304805 | Davis Wellness Ltd LLP | Family Medicine | 3750 S. University Dr., Suite 201, Fort Worth, TX 76109-3701 | 2015-05-01 |
| 1902298417 | Jack Lynwood Judson, Md | Family Medicine | 1800 Malibar Rd, Fort Worth, TX 76116-1834 | 2015-02-21 |
| 1104243468 | Henry Dollahite | Family Medicine | 6205 Locke Ave, Fort Worth, TX 76116-4636 | 2014-03-25 |
| 1447676689 | Janet Shackelford | Family Medicine | 5001 Golden Triangle Blvd, # 1024, Fort Worth, TX 76244 | 2014-03-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
Please comment or provide details below to improve the information on MR. MOHAMAD ZIA SIDDIQUI.
| 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.