JANICE A KNEBL (NPI# 1649234568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649234568 |
| Entity Type | Individual |
| Full Name | JANICE A KNEBL |
| Credential | DO |
| Practice Address |
855 Montgomery St Fort Worth TX 76107-2553 |
| Mailing Address |
Po Box 99335 Fort Worth TX 76199-0335 |
| Practice Telephone | 8177352660 |
| Practice Fax Number | 8177355441 |
| Mailing Telephone | 8177352660 |
| Mailing Fax Number | 8177355441 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | H4979 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
H4979 | TX | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
H4979 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 118453302 | 05 | |
| TX | RAILROAD MEDICARE | 380000251 | 01 |
| TX | BCBS | 842577 | 01 |
| Street Address |
855 MONTGOMERY ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194455 | Patricia Lowrimore | Psychiatry & Neurology | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2005-06-20 |
| 1194353417 | Jason L Thompson | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-03-31 |
| 1639701808 | Tyrane Roberts-lagrone | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-02-06 |
| 1144860917 | Melissa Edwards Petersen | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-01-09 |
| 1629553813 | Lisa Jane Killam-worrall | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-10-03 |
| 1598250607 | Sima Taj Mozdbar | Optometrist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-06-30 |
| 1588153993 | Kristen Reuter | Social Worker | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-05-02 |
| 1114431624 | Emily J. Clark | Counselor | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-11-20 |
| 1275073215 | Elizabeth Svyatoslavna Balyakina | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-23 |
| 1588103659 | Frederick Olen Barnum Iv | Family Medicine | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1487835914 | Mark Lindemann Do Pa | Internal Medicine | 6387 Camp Bowie Blvd, Ste B 326, Fort Worth, TX 76116-5423 | 2007-11-27 |
| 1992735609 | Aparna Rao Kotamarti | Internal Medicine | 1275 West Terrell, Fort Worth, TX 76104 | 2006-07-05 |
| 1023018686 | Sabina A Amin | Internal Medicine | 613 Waterchase Dr, Fort Worth, TX 76120-2872 | 2005-07-26 |
| 1821417395 | Tyson Garfield | Internal Medicine | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2014-04-14 |
| 1578879409 | Munazza S. Sethi M.d, P.a | Internal Medicine | 1001 College Ave, Suite A, Fort Worth, TX 76104-3000 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882360 | Infinite Healthcare Solutions LLC | Internal Medicine | 1110 Southwood Ct, Lewisville, TX 75067-5045 | 2020-02-08 |
| 1629609060 | Good4u Family Clinic Dallas Fort Worth (dfw) Pllc | Internal Medicine | 1417 N Cockrell Hill Rd Ste 101a, Dallas, TX 75211-1308 | 2020-02-03 |
| 1841830288 | Kennosa Kensha Gunn | Internal Medicine | 1300 Bay Area Blvd Ste 150, Houston, TX 77058-2505 | 2020-01-14 |
| 1679135420 | Pai Participant 9 Pa | Internal Medicine | 1550 Waters Ridge Dr, Lewisville, TX 75057-6011 | 2019-07-02 |
| 1972067718 | Primary & Palliative Home Care, Pllc | Internal Medicine | 8901 Emmett Lowry Expwy Suite A, Texas City, TX 77591 | 2019-01-25 |
| 1063986701 | Siddique Medical Associates Pllc | Internal Medicine | 2609 Webster Dr, Plano, TX 75075-6666 | 2019-01-16 |
| 1780198044 | Lucy E Quinn | Internal Medicine | 3910 Desert Springs Ln, Fulshear, TX 77441 | 2017-11-24 |
| 1457861411 | Apex House Calls, LLC | Internal Medicine | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | 2017-10-04 |
| 1669994570 | Mina Health Services, LLC | Internal Medicine | 8811 Teel Pkwy Ste 100, Frisco, TX 75035-4201 | 2017-07-12 |
| 1679023410 | Siddique Medical Associates Pa | Internal Medicine | 1611 Bryce Canyon Ln, Allen, TX 75002-2696 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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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.