AZIZ SAMIR ABDUL-RAHIM (NPI# 1881690279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881690279 |
| Entity Type | Individual |
| Full Name | AZIZ SAMIR ABDUL-RAHIM |
| Other Name | SAM ABDUL-RAHIM |
| Credential | M.D. |
| Practice Address |
1201 Summit Ave Fort Worth TX 76102-4427 |
| Practice Telephone | 8173322020 |
| Practice Fax Number | 8173324797 |
| Mailing Telephone | 8173322020 |
| Mailing Fax Number | 8173324797 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2014-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | H5389 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 129776407 | 05 | |
| TX | BCBS | 8J0401 | 01 |
| Street Address |
1201 SUMMIT AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313037 | Jordan L Haney | Nurse Practitioner | 1201 Summit Ave, Fort Worth, TX 76102-4413 | 2020-07-13 |
| 1487073953 | Derek Yang Han | Ophthalmology | 1201 Summit Ave, Fort Worth, TX 76102-4413 | 2014-04-14 |
| 1679991053 | Tina Chen | Ophthalmology | 1201 Summit Ave, Fort Worth, TX 76102-4413 | 2014-04-02 |
| 1942634662 | Harper Interventional Pain Center LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Fort Worth, TX 76102-4413 | 2013-08-29 |
| 1356685861 | Marsh Interventional Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Fort Worth, TX 76102-4413 | 2012-11-21 |
| 1265701767 | Judy Marie Myers | Optometrist | 1201 Summit Ave, Fort Worth, TX 76102-4413 | 2011-12-29 |
| 1124310073 | Penn Interventional Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Fort Worth, TX 76102-4413 | 2011-05-11 |
| 1790089720 | Presidio Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Fort Worth, TX 76102-4413 | 2011-01-05 |
| 1295045854 | Summit Avenue Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Fort Worth, TX 76102-4413 | 2010-10-18 |
| 1376863662 | Unni Krishnan Nair | Ophthalmology | 1201 Summit Ave, Fort Worth, TX 76102-4413 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1538450721 | Kim-binh Thi Mai | Ophthalmology | 3824 N Tarrant Pkwy Ste 310, Fort Worth, TX 76244-5431 | 2011-04-22 |
| 1063720654 | Texas Health Care, P.l.l.c. | Ophthalmology | 4950 Overton Ridge Blvd., Fort Worth, TX 76132-1909 | 2010-09-17 |
| 1023336633 | Taylor Boyd Strange | Ophthalmology | 4501 Heritage Trace Pkwy, Suite 121, Fort Worth, TX 76244-8940 | 2010-05-06 |
| 1649418831 | Dan A. Willis, M.d., P.a. | Ophthalmology | 1325 Pennsylvania Ave Ste 670, Fort Worth, TX 76104-2133 | 2009-01-27 |
| 1679630131 | Texas Health Care, P.l.l.c. | Ophthalmology | 4932 Overton Ridge, Fort Worth, TX 76132-0000 | 2007-01-03 |
| 1043237647 | Harry Rosenthal Jr. | Ophthalmology | 4932 Overton Ridge Blvd, Fort Worth, TX 76132-1909 | 2006-07-17 |
| 1528009214 | Harold Granek Mdpa | Ophthalmology | 1021 Washington Ave, Fort Worth, TX 76104-3021 | 2006-06-10 |
| 1497792089 | Dan A Willis | Ophthalmology | 1000 9th Ave, Ste. B, Fort Worth, TX 76104-3906 | 2006-06-01 |
| 1861456584 | Judson P Smith IIi | Ophthalmology | 417 W Magnolia Ave, Fort Worth, TX 76104 | 2006-04-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
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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.