DR. MARK WILLIAM REDROW (NPI# 1689615726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689615726 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM REDROW |
| Credential | MD |
| Practice Address |
1001 12th Ave Suite 200 Fort Worth TX 76104-3926 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 8178502000 |
| Practice Fax Number | 8178502065 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722342987 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
G9383 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 136100809 | 05 | |
| TX | 136100801 | 05 | |
| TX | CSHCN | 136100806 | 01 |
| TX | 136100807 | 05 | |
| TX | BLUE CROSS OF TEXAS | 8R1533 | 01 |
| TX | 136100803 | 05 |
| Street Address |
1001 12TH AVE SUITE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919172 | Health Texas Provider Network-family Practice of North Texas LLP | Family Medicine | 1001 12th Ave, Suite 130, Fort Worth, TX 76104-3926 | 2005-08-16 |
| 1952848939 | Nasc Medical, LLC | Durable Medical Equipment & Medical Supplies | 1001 12th Ave, 171, Fort Worth, TX 76104-3926 | 2017-01-27 |
| 1629520655 | Jennifer West | Nurse Practitioner | 1001 12th Ave, Suite 200, Fort Worth, TX 76104-3926 | 2016-10-25 |
| 1275987661 | Paramount Evaluation Group LLC | Pain Medicine | 1001 12th Ave, Fort Worth, TX 76104-3926 | 2016-04-21 |
| 1255737276 | Spotlight Pro Management | Physiological Laboratory | 1001 12th Ave, Suite 170, Fort Worth, TX 76104-3926 | 2014-11-18 |
| 1457760449 | Genesis Gayle Bridges | Physician Assistant | 1001 12th Ave, #200, Fort Worth, TX 76104-3926 | 2014-08-04 |
| 1528303658 | Cassie Ringhoffer | Physician Assistant | 1001 12th Ave, Suite 170, Fort Worth, TX 76104-3926 | 2012-11-29 |
| 1366710196 | Texas Center for Urology LLP | Urology | 1001 12th Ave, Suite 140, Fort Worth, TX 76104-3926 | 2011-12-07 |
| 1194019836 | Applied Pain Associates, Pllc | Specialist | 1001 12th Ave, Suite 172, Fort Worth, TX 76104-3926 | 2011-05-28 |
| 1336454131 | Betty J. Thomas | Physician Assistant | 1001 12th Ave, Fort Worth, TX 76104-3926 | 2010-08-17 |
| 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 | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316112261 | West Lpn Fort Worth Oncology Pllc | Internal Medicine | 1650 W Rosedale St, Ste 300, Fort Worth, TX 76104-7400 | 2008-04-22 |
| 1932302056 | Rhett K Fredric, M.d. & Associates | Internal Medicine | 909 9th Ave, Suite 402, Fort Worth, TX 76104-7400 | 2007-06-06 |
| 1730300773 | Randall David Crim | Internal Medicine | 6500 Harris Pkwy, Fort Worth, TX 76132-4136 | 2007-05-01 |
| 1245374180 | Bassam Ghabach | Internal Medicine | 1500 S Main St, Fort Worth, TX 76104-4917 | 2007-02-16 |
| 1215960018 | Latha S Neerukonda | Internal Medicine | 1500 S Main St, Fort Worth, TX 76104-4917 | 2006-07-08 |
| 1083656094 | John Laurence Earl Nugent | Internal Medicine | 1001 12th Ave, Suite 200, Fort Worth, TX 76104-3926 | 2006-06-12 |
| 1649217647 | Robert Lloyd Ruxer Jr. | Internal Medicine | 1001 12th Ave, Suite 200, Fort Worth, TX 76104-3926 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447636857 | Carl Plager | Internal Medicine | 5151 Edloe Street, Apt. 5406, Houston, TX 77005-1187 | 2015-08-07 |
| 1730560525 | Michael Burgess | Internal Medicine | 300 Zapata Ave, Rancho Viejo, TX 78575-9654 | 2015-06-17 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1881018760 | Giora M. Mavligit | Internal Medicine | 2400 N. Braeswood, #211, Houston, TX 77030 | 2014-02-12 |
| 1396184354 | David Hsieh | Internal Medicine | 2201 Inwood Road 3rd Floor Nc3.500, Dallas, TX 75390 | 2013-06-22 |
| 1790124113 | William Stanley Gore | Internal Medicine | 570 Beechwood Loop, Hemphill, TX 75948-6615 | 2013-06-19 |
| 1679919963 | Olufunke Akinbobuyi | Internal Medicine | 2205 West Walker Street, League City, TX 77573 | 2013-05-14 |
| 1659715357 | Natasha Baldev Hirani | Internal Medicine | 1450 E League City Pkwy, League City, TX 77573 | 2013-04-24 |
| 1154676146 | Rossa Khalaf | Internal Medicine | 7812 Gateway Blvd E Ste 110, El Paso, TX 79915-1811 | 2012-07-17 |
| 1275808222 | Debra Louise Caudy | Internal Medicine | 6620 Golf Dr, Dallas, TX 75205-1212 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
| 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.