JEANETTE GRULLON-MEJIA (NPI# 1659366219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659366219 |
| Entity Type | Individual |
| Full Name | JEANETTE GRULLON-MEJIA |
| Other Name | JEANETTE A. GRULLON |
| Credential | MD. |
| Practice Address |
J Street Building 3000 Fort Worth TX 76127 |
| Practice Telephone | 8177824352 |
| Mailing Telephone | 8177824352 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | N2097 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
J STREET BUILDING 3000 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942654462 | Damon A Cates | Physician Assistant | Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 | 2016-04-21 |
| 1821332628 | Patricia Byrd | Psychologist | 3000 'j' Street, Fort Worth, TX 76127 | 2012-11-16 |
| 1992976435 | Carlos Estevez | Physical Therapist | J Street Building 3000, Naval Air Station, Fort Worth, TX 76127 | 2008-03-12 |
| 1346284064 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1880 Mlty Pky, Ft. Worth, TX 76127 | 2006-06-15 |
| 1679516330 | Texas Exchange Eye Care, L.p. | Optometrist | 1880 Military Parkway, Building 1880, Fort Worth, TX 76127 | 2006-06-13 |
| 1073571428 | Alysa Michele Jackson | Social Worker | 3000 'j' Street, Federal Medical Center, Carswell, Fort Worth, TX 76127 | 2006-05-03 |
| 1528468444 | Luciana Ramirez | Dentist | 1711 Doolittle Ave, Fort Worth, TX 76127 | 2014-08-28 |
| 1922410554 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 1711 Doolittle Ave, Fort Worth, TX 76127 | 2014-06-02 |
| 1700126570 | Dr Buie & Associates PC | Optometrist | 1880 Military Parkway, Ft. Worth, TX 76127 | 2013-02-15 |
| 1417056664 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 1711 Doolittle Ave, Ft Worth, TX 76127 | 2006-09-22 |
| Find all providers in zip 76127 | ||||
| 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 | 76127 |
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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.