DR. MARISSA MAY ZAJAC (NPI# 1710367446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710367446 |
| Entity Type | Individual |
| Full Name | DR. MARISSA MAY ZAJAC |
| Credential | D.O. |
| Practice Address |
5521 Bellaire Dr S Ste 114b Fort Worth TX 76109-5855 |
| Practice Telephone | 8179269642 |
| Practice Fax Number | 8179261865 |
| Mailing Telephone | 8179269642 |
| Mailing Fax Number | 8179261865 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | R9898 | TX | Allopathic & Osteopathic Physicians |
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | ED | WV | Allopathic & Osteopathic Physicians |
| Street Address |
5521 BELLAIRE DR S STE 114B |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-5855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489103 | Dante Paredes | Neuromusculoskeletal Medicine & OMM | 855 Montgomery St Fl 2, Fort Worth, TX 76107-2553 | 2015-06-14 |
| 1366498438 | David Edward Teitelbaum | Neuromusculoskeletal Medicine & OMM | 4455 Camp Bowie Blvd, Suite 214, Fort Worth, TX 76107-3864 | 2006-05-26 |
| 1275506644 | Scott T Stoll | Neuromusculoskeletal Medicine & OMM | 5717 Edwards Ranch Rd, Fort Worth, TX 76109-4116 | 2006-02-08 |
| 1407829641 | John Licciardone | Neuromusculoskeletal Medicine & OMM | Unthsc Patient Care Center, 999 Montgomery, Fort Worth, TX 76107 | 2006-02-08 |
| 1144209552 | Richard Todd Dombroski | Neuromusculoskeletal Medicine & OMM | 6913 Camp Bowie Blvd Ste 107, Fort Worth, TX 76116-7164 | 2006-01-13 |
| 1548623044 | Nathan Williams | Neuromusculoskeletal Medicine & OMM | 855 Montgomery St Fl 2, Fort Worth, TX 76107-2553 | 2016-04-01 |
| 1013384775 | Lesley Schmitz D.o. and Associates | Neuromusculoskeletal Medicine & OMM | 4545 Bellaire Dr S, Suite 200, Fort Worth, TX 76109-1889 | 2015-08-28 |
| 1700267481 | Matthew Barker | Neuromusculoskeletal Medicine & OMM | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2015-06-18 |
| 1609257971 | Malinda Hansen | Neuromusculoskeletal Medicine & OMM | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2015-06-12 |
| 1174930408 | Kevin Holmewood | Neuromusculoskeletal Medicine & OMM | 3500 Camp Bowie Blvd, Pcc 2nd Floor; PCc 6th Floor, Fort Worth, TX 76107-2644 | 2014-07-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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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.