DR. ANDREW ALBERT INDRESANO (NPI# 1023214475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023214475 |
| Entity Type | Individual |
| Full Name | DR. ANDREW ALBERT INDRESANO |
| Credential | M.D |
| Practice Address |
3160 N Tarrant Pkwy Ste 404 Fort Worth TX 76177-8614 |
| Practice Telephone | 8172052939 |
| Practice Fax Number | 8178873015 |
| Mailing Telephone | 8172052939 |
| Mailing Fax Number | 8178873015 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Q0940 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3160 N TARRANT PKWY STE 404 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76177-8614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457704835 | Disc Clinic Pllc | Orthopaedic Surgery | 3160 N Tarrant Pkwy Ste 404, Fort Worth, TX 76177-8614 | 2016-07-20 |
| 1902259385 | Equinox Clinic Pllc | Physician Assistant | 3160 N Tarrant Pkwy Ste 404, Fort Worth, TX 76177-8614 | 2016-07-20 |
| 1407207392 | Tsa Clinic Pllc | Anesthesiology | 3160 N Tarrant Pkwy Ste 404, Fort Worth, TX 76177-8614 | 2016-06-22 |
| 1215313259 | Skinique Med Spa & Wellness | Nutritionist | 3160 N Tarrant Pkwy Ste 404, Fort Worth, TX 76177-8614 | 2015-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
| 1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
| 1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
| 1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
| Find all providers in zip 76177 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992113088 | Equinox Spine Pa | Orthopaedic Surgery | 3160 North Tarrant Parkway, Fort Worth, TX 76177 | 2014-08-01 |
| 1871739383 | Jason C Tinley, Md, Pllc | Orthopaedic Surgery | 4441 Bryant Irvin Rd N, Fort Worth, TX 76107-7338 | 2009-01-05 |
| 1184800732 | Jason Christopher Tinley | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2008-01-14 |
| 1770124851 | Clavw | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2019-09-30 |
| 1669970943 | Optimal Health Network of Texas LLC | Orthopaedic Surgery | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2018-01-31 |
| 1265969562 | Lone Star Spine Institute, Pa | Orthopaedic Surgery | 3600 W 7th St Ste A, Fort Worth, TX 76107-2534 | 2017-05-17 |
| 1811375645 | Lean 3, LLC | Orthopaedic Surgery | 4420 Heritage Trace Pkwy, Ste 308, Fort Worth, TX 76244-8903 | 2015-05-13 |
| 1528324118 | Carson L Fairbanks | Orthopaedic Surgery | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132 | 2012-04-09 |
| 1932473436 | Vishal Chandrakant Patel | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2012-02-29 |
| 1437474608 | Neil Dilip Shah | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2010-03-31 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76177 |
Please comment or provide details below to improve the information on DR. ANDREW ALBERT INDRESANO.
| 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.