ISAAC AARON WATEMBERG


Address: 1307 8th Ave Ste 106, Fort Worth, TX 76104-4141
Phone: 8173358478

ISAAC AARON WATEMBERG (NPI# 1740241777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740241777
Entity Type Individual
Full Name ISAAC AARON WATEMBERG
Credential MD
Practice Address 1307 8th Ave Ste 106
Fort Worth
TX 76104-4141
Mailing Address Po Box 961205
Fort Worth
TX 76161-1205
Practice Telephone 8173358478
Practice Fax Number 8178829910
Mailing Telephone 8172818245
Mailing Fax Number 8178829910
Enumeration Date 2006-03-29
Last Update Date 2015-12-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine K4290 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 175798103 05
TX BCBS 8J9056 01

Office Location

Street Address 1307 8TH AVE STE 106
City FORT WORTH
State TX
Zip Code 76104-4141

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730223017 Norma L Escamilla Family Medicine 1307 8th Ave Ste 106, Fort Worth, TX 76104-4141 2007-02-19
1366509382 Texas Health Care, P.l.l.c. Family Medicine 1307 8th Ave Ste 106, Fort Worth, TX 76104-4141 2007-01-02
1427061191 Karen M Grant Family Medicine 1307 8th Ave Ste 106, Fort Worth, TX 76104-4141 2006-08-14
1538184353 Patricia D Kaczmarski Nurse Practitioner 1307 8th Ave Ste 106, Fort Worth, TX 76104-4141 2006-07-13

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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