DR. JAMES RUSSELL HADEN (NPI# 1588691125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588691125 |
| Entity Type | Individual |
| Full Name | DR. JAMES RUSSELL HADEN |
| Credential | M.D. |
| Practice Address |
1000 College Ave Fort Worth TX 76104-3033 |
| Practice Telephone | 8173368855 |
| Practice Fax Number | 8173364228 |
| Mailing Telephone | 8173368855 |
| Mailing Fax Number | 8173364228 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | L0234 | TX | Allopathic & Osteopathic Physicians |
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
L0234 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | L0234 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
L0234 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578679809 | James Byrd Haden | Urology | 1416 E A St # S101, Casper, WY 82601-2276 | 2006-08-21 |
| Street Address |
1000 COLLEGE AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124063706 | James R Haden, Md, Pa | Allergy & Immunology | 1000 College Ave, Fort Worth, TX 76104-3033 | 2006-06-18 |
| 1699896704 | Rajendra K. Tanna, M.d., P.a. | Allergy & Immunology | 1000 College Ave, Fort Worth, TX 76104-3033 | 2007-04-03 |
| 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 | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548509532 | Benjamin George | Internal Medicine | 1000 College Avenue, Fort Worth, TX 76104 | 2013-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770963233 | Whitney Allison Salinas | Internal Medicine | 5323 Harry Hines Blvd # F4.206, Dallas, TX 75390-8859 | 2015-05-31 |
| 1538435532 | Elisabeth Anne Clayton | Internal Medicine | 15801 W Highway 71 Bldg 1, Bee Cave, TX 78738-2702 | 2012-03-24 |
| 1376850651 | Asad Omar | Internal Medicine | 1512 N Zaragoza Rd Ste B, El Paso, TX 79936-8903 | 2010-09-08 |
| 1568697134 | Ricardo A. Abraham, Mdpa | Internal Medicine | 5251 Ridgeline Dr, Brownsville, TX 78526-3814 | 2009-05-26 |
| 1053570119 | B Tano, M.d., P.a. | Internal Medicine | 14615 San Pedro Ave Ste 125, San Antonio, TX 78232-4364 | 2008-06-04 |
| 1063679918 | B Tano, M.d., P.a. | Internal Medicine | 1404 Rice Rd Ste 300, Tyler, TX 75703-3621 | 2008-05-19 |
| 1982730719 | Thomas Richard Woehler | Internal Medicine | 101 Westcott St, #1106, Houston, TX 77007-7044 | 2007-02-26 |
| 1912085218 | Allergy & Ent Associates | Internal Medicine | 25250 Northwest Fwy Ste 100, Cypress, TX 77429-1075 | 2006-11-02 |
| 1811005317 | Ward M Prentice | Internal Medicine | 914 Fm 517 West, Dickinson, TX 77539 | 2006-08-26 |
| 1255343133 | Alfred R. Johnson | Internal Medicine | 997 Hampshire Ln, Richardson, TX 75080-8105 | 2006-08-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.