DR. MICHELLE C MARCINCUK (NPI# 1821098815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821098815 |
Entity Type | Individual |
Full Name | DR. MICHELLE C MARCINCUK |
Credential | MD |
Practice Address |
901 7th Ave Fort Worth TX 76104-2722 |
Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
Practice Telephone | 6828856850 |
Practice Fax Number | 6828856799 |
Mailing Telephone | 6828851855 |
Mailing Fax Number | 6828857347 |
Enumeration Date | 2005-07-31 |
Last Update Date | 2014-09-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | K5615 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 159265102 | 05 | |
TX | RAIL ROAD MEDICARE | P00475702 | 01 |
TX | MEDICAID CSHCN | 159265103 | 01 |
Street Address |
901 7TH AVE |
City | FORT WORTH |
State | TX |
Zip Code | 76104-2722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437628666 | Andrew Hammond | Nurse Practitioner | 901 7th Ave, Fort Worth, TX 76104-2722 | 2018-11-16 |
1326529769 | Harrison Howard | Physician Assistant | 901 7th Ave, Fort Worth, TX 76104-2722 | 2018-08-23 |
1487133559 | Annick Uwimana | Nurse Practitioner | 901 7th Ave, Fort Worth, TX 76104-2722 | 2018-08-09 |
1164941027 | Whitney C Dragon | Nurse Practitioner | 901 7th Ave, Fort Worth, TX 76104-2722 | 2017-09-12 |
1922557255 | Latasha S Baker | Nurse Practitioner | 901 7th Ave, Fort Worth, TX 76104-2722 | 2016-09-28 |
1194270884 | Amanda S Jordan | Psychologist | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2016-08-23 |
1942753140 | Matthew Reed | Social Worker | 901 7th Ave, Ste 2200, Fort Worth, TX 76104-2722 | 2016-07-25 |
1114370426 | Chris J Gilbert | Counselor | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2016-07-21 |
1366813453 | Corey Heath | Psychologist | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2015-10-14 |
1588083471 | Erin Hyken | Psychologist | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2014-04-08 |
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 | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720437155 | Central Park Ear Nose & Throat LLP Fort Worth | Otolaryngology | 800 8th Ave Ste 618, Fort Worth, TX 76104-2605 | 2016-06-07 |
1346665338 | George Kostohryz, Jr., M.d., P.a. | Otolaryngology | 4625 Boat Club Rd Ste 257, Fort Worth, TX 76135-7023 | 2014-02-27 |
1194154724 | Olicolas Monitoring P.a. | Otolaryngology | 500 Throckmorton 3012, Fort Worth, TX 76102 | 2013-11-04 |
1639441751 | Texas Health Care Pllc | Otolaryngology | 1250 8th Avenue, Suite 205, Fort Worth, TX 76104-4158 | 2012-02-06 |
1619266905 | Texas Health Care, P.l.l.c. | Otolaryngology | 5801 Oakbend Trail, Suite 260, Fort Worth, TX 76132-3923 | 2011-04-07 |
1831416932 | Masoud Saman | Otolaryngology | 923 Pennsylvania Ave Ste 100, Fort Worth, TX 76104-2254 | 2010-04-28 |
1316276744 | Texas Health Care, P.l.l.c. | Otolaryngology | 800 8th Ave,. Suite 626, Fort Worth, TX 76104-2605 | 2009-12-14 |
1730381310 | Marc Richard Dean | Otolaryngology | 901 Hemphill St., Fort Worth, TX 76104-3111 | 2007-06-05 |
1780800938 | Jeremy Paul Watkins | Otolaryngology | 5751 Edwards Ranch Road, Suite 200, Fort Worth, TX 76109 | 2007-04-17 |
1891861779 | Texas Health Care, P.l.l.c. | Otolaryngology | 901 Hemphill, Fort Worth, TX 76104-3111 | 2006-11-24 |
Find all providers in FORT WORTH |
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.