DR. JAGADESHWAR G REDDY (NPI# 1649250960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649250960 |
| Entity Type | Individual |
| Full Name | DR. JAGADESHWAR G REDDY |
| Credential | M.D. |
| Practice Address |
1201 Fairmount Ave Fort Worth TX 76104-4215 |
| Mailing Address |
601 Omega Dr Suite 206 Arlington TX 76014-2075 |
| Practice Telephone | 8173355288 |
| Practice Fax Number | 8173380927 |
| Mailing Telephone | 8174655881 |
| Mailing Fax Number | 8174656336 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2014-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 47261 | MN | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
P3233 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
P3233 | TX | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01067092A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 307949301 | 05 |
| Street Address |
1201 FAIRMOUNT AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113913 | John T Pender Jr. | Internal Medicine | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2005-09-07 |
| 1750903860 | Justin Comrie | Physician Assistant | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2020-05-12 |
| 1427603794 | Kenneth Victor Collins | Nurse Practitioner | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2019-08-05 |
| 1023590106 | Erin Rutledge | Physician Assistant | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2018-09-05 |
| 1235616681 | Steven Matthew Houck | Physician Assistant | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2018-07-27 |
| 1225412356 | Jonathan L. Ives | Physician Assistant | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2015-07-18 |
| 1972843415 | Lien-khuong Pham Tran | Internal Medicine | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2013-02-20 |
| 1609133909 | Andrew Louis Miller | Internal Medicine | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2012-04-12 |
| 1295040772 | Obinna Okoye | Internal Medicine | 1201 Fairmount Ave, Fort Worth, TX 76104-4215 | 2010-08-09 |
| 1912155532 | Ramesh Subedi | Internal Medicine | 1201 Fairmount Ave, Fort Worth, TX 76104 | 2008-09-08 |
| Find all providers in the same location | ||||
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1730587999 | Hisham Bismar, Md | Internal Medicine | 11807 South Freeway, Suite 362a, Fort Worth, TX 76115-0337 | 2014-12-19 |
| 1538445085 | Texas Health Care, P.l.l.c. | Internal Medicine | 508 South Adams Street, Suite 200, Fort Worth, TX 76104-2151 | 2011-10-28 |
| 1962788455 | Texas Health Care, P.l.l.c. | Internal Medicine | 6302 Jacksboro Hwy., Suite A, Fort Worth, TX 76135-3607 | 2011-10-27 |
| 1588994875 | Adesubomi Agoro Md Pa | Internal Medicine | 1100 Pennsylvania Avenue, Fort Worth, TX 76104-2120 | 2010-01-08 |
| 1902084890 | Unec Group Inc | Internal Medicine | 117 King Ranch Ct, Fort Worth, TX 76108-9593 | 2008-02-04 |
| 1306023924 | Nikhat A. Qureshi, M.d., P.a. | Internal Medicine | 4255 Bryant Irvin Rd Ste 102, Fort Worth, TX 76109-4224 | 2008-01-25 |
| 1003907353 | Asthma Care Texas | Internal Medicine | 500 8th Avenue, Suite 110, Fort Worth, TX 76104 | 2006-09-28 |
| 1396710984 | David Ostransky | Internal Medicine | 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1517 | 2006-02-17 |
| 1285627539 | Richard W Hazen | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2005-08-23 |
| 1235467804 | Noble Ezukanma M.d P.a | Internal Medicine | 117 King Ranch Ct, Fort Worth, TX 76108-9593 | 2009-11-19 |
| 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.