MRS. CATHY RENEE GOLLADAY (NPI# 1669620696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669620696 |
| Entity Type | Individual |
| Full Name | MRS. CATHY RENEE GOLLADAY |
| Other Name | CATHY RENEE PHILLLIPS |
| Credential | PA-C |
| Practice Address |
700 Westport Pkwy Ft Worth TX 76177-4513 |
| Mailing Address |
28809 Greenberry Dr Gaithersburg MD 20882-2312 |
| Practice Telephone | 2042073755 |
| Mailing Telephone | 2402073755 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA12473 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 WESTPORT PKWY |
| City | FT WORTH |
| State | TX |
| Zip Code | 76177-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
| 1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
| 1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
| 1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
| Find all providers in zip 76177 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700337813 | Dong-quan Truong | Physician Assistant | 7520 N Beach St # 108, Ft Worth, TX 76137-1680 | 2016-10-24 |
| 1457758336 | Lisa Weber Zimmerer | Physician Assistant | 7367 N Beach St, Ft Worth, TX 76137-1883 | 2014-11-20 |
| 1992059158 | Abiola A Adams | Physician Assistant | 5108 Pecos River Trl, Apt.2115, Ft Worth, TX 76132-1296 | 2012-11-08 |
| 1154410041 | Daniel James Bequillard | Physician Assistant | 2500 Yeager St, Ft Worth, TX 76112-5052 | 2006-10-11 |
| 1962069443 | Lauren Elizabeth Daub | Physician Assistant | 7801 Oakmont Blvd Ste 101, Ft Worth, TX 76132-4242 | 2019-05-21 |
| 1821540816 | Tx Health Services, Pllc | Physician Assistant | 5900 S Hulen St, Ft Worth, TX 76132-4816 | 2016-10-26 |
| 1205200094 | Kevin Tran | Physician Assistant | 1900 Mistletoe Blvd Ste 200, Ft Worth, TX 76104-4049 | 2015-11-17 |
| 1790109759 | Tara Milligan | Physician Assistant | 908 W Terrell Ave N, Ft Worth, TX 76104-3034 | 2014-02-11 |
| 1235551128 | Lindsay Pate | Physician Assistant | 800 12th Ave, Suite 300, Ft Worth, TX 76104-2518 | 2014-01-10 |
| 1679902134 | Jennifer Crumm | Physician Assistant | 7801 Oakmont Blvd, Ste 101, Ft Worth, TX 76132-4204 | 2013-11-05 |
| Find all providers in FT WORTH | ||||
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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.