DR. JOSEPH VINCENT NICOLOSI (NPI# 1003888454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003888454 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH VINCENT NICOLOSI |
| Credential | MD |
| Practice Address |
4916 Overton Plz Fort Worth TX 76109-4415 |
| Practice Telephone | 8888043000 |
| Practice Fax Number | 8173340235 |
| Mailing Telephone | 8888043000 |
| Mailing Fax Number | 8173340235 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2016-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | K3810 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 122179805 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548317076 | Joseph P Nicolosi | Physical Therapist | 7712 Goodwood Blvd Ste A, Baton Rouge, LA 70806-7624 | 2007-01-05 |
| 1700165602 | Joseph John Nicolosi Jr. | Psychologist | 17835 Ventura Blvd, Ste # 207, Encino, CA 91316 | 2011-08-09 |
| Street Address |
4916 OVERTON PLZ |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587016 | Xiao-en Fang | Anesthesiology | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2005-06-01 |
| 1407164213 | Zachary Taylor | Registered Nurse | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2010-09-15 |
| 1093954190 | Matthew Rowley | Anesthesiology | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2009-02-12 |
| 1386880847 | Amelia Monica Burciu | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109 | 2009-01-05 |
| 1215113527 | Deborah Wilson Sellers | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2008-01-16 |
| 1356524920 | John R Romolton | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2007-12-06 |
| 1750563383 | Walter C Braunitzer | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109 | 2007-12-05 |
| 1265614929 | Matthew D Watters | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2007-12-04 |
| 1992985998 | Lance A. Wilks | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2007-11-07 |
| 1306026513 | Ashley R Krafthoefer | Nurse Anesthetist, Certified Registered | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2007-11-06 |
| Find all providers in the same location | ||||
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104440411 | Valor Interventional Pain, LLC | Anesthesiology | 6620 Bryant Irvin Rd Ste 100, Fort Worth, TX 76132-4224 | 2020-06-02 |
| 1588146799 | Vertex Advanced Pain Management and Spine Specialist Pllc | Anesthesiology | 1325 Pennsylvania Ave Ste 300, Fort Worth, TX 76104-2110 | 2018-09-04 |
| 1427555077 | Globus Anesthesia, Pllc | Anesthesiology | 8901 Tehama Ridge Pkwy Ste 127244, Fort Worth, TX 76177-2031 | 2018-04-10 |
| 1932611654 | Trinity Medical Associates, Pllc. | Anesthesiology | 3023 South University Drive, Suite 135, Fort Worth, TX 76109-5608 | 2017-11-03 |
| 1376090688 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 4444 Heritage Trace Pkwy Ste 408, Fort Worth, TX 76244 | 2016-09-02 |
| 1770944076 | Ctpc Fort Worth, Pllc | Anesthesiology | 72356 Boat Club Road, Fort Worth, TX 76179-4555 | 2016-03-14 |
| 1124402680 | Metro Pain Laser | Anesthesiology | 6333 Airport Fwy # 102, Fort Worth, TX 76117-5323 | 2015-07-15 |
| 1588984439 | Bryan Skulpoonkitti | Anesthesiology | 416 S Henderson St, Fort Worth, TX 76104-1017 | 2010-06-02 |
| 1386978203 | Anesthesia By Ac Pa | Anesthesiology | 3701 Encanto Dr, Fort Worth, TX 76109-3547 | 2009-09-24 |
| 1215193990 | Davida Denise Rixter | Anesthesiology | 5407 Basswood Blvd Ste 115, Fort Worth, TX 76137-4499 | 2008-08-01 |
| 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.