VASCULAR AND VEIN CENTER PA (NPI# 1013173764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013173764 |
| Entity Type | Organization |
| Organization Name | VASCULAR AND VEIN CENTER PA |
| Practice Address |
1325 Pennsylvania Ave Suite 440 Fort Worth TX 76104-2128 |
| Mailing Address |
Po Box 33434 Fort Worth TX 76162-3434 |
| Practice Telephone | 8173328346 |
| Practice Fax Number | 8173321723 |
| Mailing Telephone | 8173328346 |
| Mailing Fax Number | 8173321723 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2013-02-01 |
| Authorized Official Name | DR. RAMESH PALADUGU (VASCULAR SPECIALIST) |
| Authorized Official Telephone | 8173328346 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
L 9584 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1325 PENNSYLVANIA AVE SUITE 440 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718452 | Mohammad Reza Siadati | Surgery | 1325 Pennsylvania Ave, 200, Fort Worth, TX 76104-2158 | 2005-08-23 |
| 1306315254 | Selina Ann Leewright | Nurse Practitioner | 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 | 2018-11-21 |
| 1972046274 | Tonyka A James Dpm Pllc | Podiatrist | 1325 Pennsylvania Ave, Suite 250, Fort Worth, TX 76104-2158 | 2016-11-18 |
| 1578927661 | Stella-maris Ogwu | Pediatrics | 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 | 2016-04-05 |
| 1316312523 | Jennifer Barnett | Pharmacist | 1325 Pennsylvania Ave, Ste #60, Fort Worth, TX 76104-2158 | 2015-12-14 |
| 1164843306 | Noushin A Firouzbakht Md Pa | Obstetrics & Gynecology | 1325 Pennsylvania Ave, Suite 350, Fort Worth, TX 76104-2158 | 2013-12-13 |
| 1346585718 | Trinity Iom, Pa | Specialist/Technologist, Other | 1325 Pennsylvania Ave, Ste 890, Fort Worth, TX 76104-2158 | 2012-12-11 |
| 1467751404 | James A Scott Md Pa | Physical Medicine & Rehabilitation | 1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 | 2011-03-16 |
| 1073819595 | Emnet Sisay | Internal Medicine | 1325 Pennsylvania Ave, Ste. 325, Fort Worth, TX 76104-2158 | 2011-01-31 |
| 1770819336 | Cindi E Tolliver | Pharmacist | 1325 Pennsylvania Ave, Suite #60, Fort Worth, TX 76104-2158 | 2009-11-02 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558702373 | Texas Health Care, P.l.l.c. | Surgery | 1307 8th Ave Ste 302, Fort Worth, TX 76104-4140 | 2013-07-09 |
| 1487962916 | Texas Health Care, P.l.l.c. | Surgery | 1250 8th Ave., Suite 240, Fort Worth, TX 76104-4124 | 2010-09-17 |
| 1326061961 | Charles Adger West Jr. | Surgery | 1325 Pennsylvania Ave Ste 680, Fort Worth, TX 76104-2133 | 2006-07-25 |
| 1538186135 | David L Stroman | Surgery | 1250 8th Ave., Suite 240, Fort Worth, TX 76104-4124 | 2006-07-17 |
| 1740825264 | Johnna Jones Do Facos Pa | Surgery | 800 8th Ave Ste 116, Fort Worth, TX 76104-2606 | 2019-11-07 |
| 1376947135 | Vikram Palkar | Surgery | 1500 S Main St, Fort Worth, TX 76104-4917 | 2014-10-22 |
| 1851668925 | Fort Worth Vascular and Surgical Associates, Pa | Surgery | 909 9th Ave, Suite 201, Fort Worth, TX 76104-3903 | 2011-11-17 |
| 1134308091 | North Texas Vein Partners, LLC | Surgery | 2737 S Hulen St, Fort Worth, TX 76109-9535 | 2007-10-29 |
| 1720274533 | Saadi Mohy Aldeen Halbouni | Surgery | 800 8th Ave Ste 306, Fort Worth, TX 76104-2602 | 2007-09-15 |
| 1720282593 | Katherine Yvonne Kane | Surgery | 1250 8th Ave, Suite 240, Fort Worth, TX 76104-4124 | 2007-06-13 |
| 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.