DR. KENT MITCHELL (NPI# 1619170453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619170453 |
| Entity Type | Individual |
| Full Name | DR. KENT MITCHELL |
| Credential | M.D. |
| Practice Address |
1000 Lipscomb St Ste 110 Fort Worth TX 76104-3181 |
| Practice Telephone | 8173488600 |
| Practice Fax Number | 8173488602 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
M0830 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1000 LIPSCOMB ST STE 110 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315382 | Ved V Aggarwal Md Pa | Pain Medicine | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | 2005-06-01 |
| 1841847589 | Zheng Miao | Nurse Practitioner | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | 2019-08-19 |
| 1245899533 | Chloe Paige Williams | Nurse Practitioner | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | 2019-06-10 |
| 1245747351 | Krista Renee Qualls | Nurse Practitioner | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | 2018-01-10 |
| 1568917672 | Wai Ying Vivien Ip | Specialist/Technologist | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | 2016-08-18 |
| 1932550126 | Ken Wamwiri | Nurse Practitioner | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | 2016-06-29 |
| 1609255512 | Mark Andrew Rouff | Physical Medicine & Rehabilitation | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | 2015-05-26 |
| 1912288069 | Puja A. Sakhrani | Physician Assistant | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104 | 2011-09-02 |
| 1407093735 | Jeaniece P Mukherjee | Nurse Anesthetist, Certified Registered | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | 2009-01-08 |
| 1043422587 | Cristina Beatrice Bartis | Anesthesiology | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104 | 2007-05-04 |
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| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154574044 | Tim Paul Ratino | Pain Medicine | 1307 8th Ave Ste 506, Fort Worth, TX 76104-4142 | 2008-10-23 |
| 1598915720 | Texas Heatlh Care, P.l.l.c. | Pain Medicine | 6701 Oakmont Blvd., Fort Worth, TX 76132-2957 | 2008-09-24 |
| 1104030782 | Thomas M. Ratino | Pain Medicine | 1307 8th Ave., Suite 506, Fort Worth, TX 76104-4142 | 2007-05-10 |
| 1437215894 | Texas Health Care, P.l.l.c. | Pain Medicine | 413 W. Rosedale, Fort Worth, TX 76104-4808 | 2006-12-29 |
| 1477628873 | Texas Health Care, P.l.l.c. | Pain Medicine | 1307 8th Ave., Suite 506, Fort Worth, TX 76104-4142 | 2006-11-21 |
| 1184649907 | Vinay Dalal | Pain Medicine | 413 West Rosedale, Fort Worth, TX 76104-4808 | 2006-07-13 |
| 1053315382 | Ved V Aggarwal Md Pa | Pain Medicine | 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 | 2005-06-01 |
| 1922617125 | Pain Management Specialists | Pain Medicine | 923 College Ave Ste 103, Fort Worth, TX 76104-3051 | 2020-07-24 |
| 1912458233 | Elite Pain Management and Monitoring | Pain Medicine | 6805 Ne Loop 820, Suite 408, Fort Worth, TX 76180-6687 | 2016-10-21 |
| 1639510936 | Robert D. Menzies, Md, Pllc | Pain Medicine | 7148 Trail Lake Dr, Fort Worth, TX 76123-1969 | 2013-07-15 |
| Find all providers in FORT WORTH | ||||
| 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.