UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH (NPI# 1740397066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740397066 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
Practice Address |
3500 Camp Bowie Boulevard Fort Worth TX 76107 |
Mailing Address |
Po Box 99335 Fort Worth TX 76199-0335 |
Practice Telephone | 8177352000 |
Mailing Telephone | 8177352000 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2018-06-06 |
Authorized Official Name | LESLIE HENDERSON (REVENUE CYCLE DIRECTOR) |
Authorized Official Telephone | 8177352008 |
Is Organization Subpart | Y |
Parent Organization Name | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 082012801 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659473056 | University of North Texas Health Science Center At Fort Worth | Advanced Practice Midwife | 1307 8th Ave Ste 403, Fort Worth, TX 76104-4143 | 2006-09-05 |
1992355499 | University of North Texas Health Science Center At Fort Worth | Neuromusculoskeletal Medicine & OMM | 1800 W Chestnut St, Denton, TX 76201 | 2019-09-17 |
1003133083 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 855 Montgomery St, Fort Worth, TX 76107 | 2010-04-29 |
1538383328 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 855 Montgomery St, Fort Worth, TX 76107 | 2007-04-12 |
1659595445 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 855 Montgomery St, Fort Worth, TX 76107 | 2007-04-12 |
1316060882 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 1305 E Seminary Dr, Fort Worth, TX 76115 | 2007-04-09 |
1891818381 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 855 Montgomery St, Fort Worth, TX 76107 | 2007-04-09 |
1578686127 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 3500 Camp Bowie Blvd, Fort Worth, TX 76107 | 2007-04-09 |
1144328634 | University of North Texas Health Science Center At Fort Worth | Psychologist | 855 Montgomery St, Fort Worth, TX 76107 | 2006-09-20 |
1417054024 | University of North Texas Health Science Center At Fort Worth | Allergy & Immunology | 855 Montgomery St, Fort Worth, TX 76107 | 2006-09-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2553 |
Street Address |
3500 CAMP BOWIE BOULEVARD |
City | FORT WORTH |
State | TX |
Zip Code | 76107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720084775 | John G Mills | Family Medicine | 3500 Camp Bowie Boulevard, Fort Worth, TX 76107-2644 | 2005-06-23 |
1538354394 | Virginia Lee Covington | Nurse Practitioner | 3500 Camp Bowie Boulevard, Fort Worth, TX 76107-2699 | 2007-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
Find all providers in zip 76107 |
Taxonomy Code | 2083P0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Undersea and Hyperbaric Medicine |
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871041913 | Rrr Hyperbarics 3 LLC | Preventive Medicine | 4545 Heritage Trace Pkwy, Fort Worth, TX 76244-8921 | 2016-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447321 | Central Texas Wound Healing Associates, Pllc | Preventive Medicine | 2300 Clear Creek Rd Ste 101, Killeen, TX 76549-4985 | 2020-11-05 |
1003470618 | Healogy Group Pllc | Preventive Medicine | 401 W Campbell Rd Ste 300, Richardson, TX 75080-3416 | 2019-04-29 |
1114498672 | Alpha Hyperbarics Pllc | Preventive Medicine | 1845 Precinct Line Road, Ste 105, Hurst, TX 76054 | 2018-12-10 |
1134694532 | Natividad Wound Care, LLC | Preventive Medicine | 138 Zamora Medical Cir, Eagle Pass, TX 78852-5924 | 2018-10-11 |
1659887248 | Rrr Hyperbarics 5, LLC | Preventive Medicine | 4150 N. Collins Street, Arlington, TX 76005 | 2017-12-19 |
1588179055 | Jaimi Lynne Stockstill | Preventive Medicine | 6161 N State Highway 161 Ste 310, Irving, TX 75038-2220 | 2017-12-06 |
1922511898 | Wound Care & Research Center of North Texas Pllc | Preventive Medicine | 502 N Valley Pkwy Ste 1, Lewisville, TX 75067-3437 | 2017-11-14 |
1093225518 | Dfw Wound & Hyperbarics, P.a. | Preventive Medicine | 2301 Marsh Ln Ste 200, Plano, TX 75093-8497 | 2017-10-10 |
1851800361 | Physicians Wound Care Pllc | Preventive Medicine | 4499 Medical Dr Ste Sl2, San Antonio, TX 78229-3722 | 2017-09-27 |
1205367455 | Rrr Hyperbarics 4 | Preventive Medicine | 1720 Fm 544, Lewisville, TX 75056-4592 | 2017-03-21 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76107 |
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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.