EPIFANIO ELIZONDO (NPI# 1073784245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073784245 |
| Entity Type | Individual |
| Full Name | EPIFANIO ELIZONDO |
| Other Name | EPI ELIZONDO |
| Credential | PA-C |
| Practice Address |
1711 Doolittle Ave Nas Jrb Branch Clinic Fort Worth TX 76127-1133 |
| Mailing Address |
204 Meadow Creek Ln Burleson TX 76028-7960 |
| Practice Telephone | 8177825923 |
| Practice Fax Number | 8177825949 |
| Mailing Telephone | 8174477788 |
| Mailing Fax Number | 2147673209 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01753 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1711 DOOLITTLE AVE NAS JRB BRANCH CLINIC |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76127-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528468444 | Luciana Ramirez | Dentist | 1711 Doolittle Ave, Fort Worth, TX 76127 | 2014-08-28 |
| 1922410554 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 1711 Doolittle Ave, Fort Worth, TX 76127 | 2014-06-02 |
| 1487079356 | Jacob Alan Seekins | Military Health Care Provider | 1711 Doolittle Ave, Fort Worth, TX 76127-1133 | 2014-02-28 |
| 1417389461 | Michael A Rivard | Military Health Care Provider | 1711 Doolittle Ave, Fort Worth, TX 76127-1133 | 2013-08-01 |
| 1710228226 | Scott Bailey Hughey | General Practice | 1711 Doolittle Ave, Fort Worth, TX 76127-1133 | 2013-03-07 |
| 1609168996 | Richard Thomas Gilbert | Military Health Care Provider | 1711 Doolittle Ave, Fort Worth, TX 76127-1133 | 2011-05-05 |
| 1124235445 | John David Brabner | Military Health Care Provider | 1711 Doolittle Ave, Fort Worth, TX 76127-1711 | 2007-05-17 |
| 1669427290 | Richard Brian Butorac | Military Health Care Provider | 1711 Doolittle Ave, Fort Worth, TX 76179 | 2006-05-23 |
| 1356318315 | James Kevin Campbell | Military Health Care Provider | 1711 Doolittle Ave, Fort Worth, TX 76127-1133 | 2006-03-08 |
| 1952378614 | Amy Elyse Isaia | Psychologist | 1711 Doolittle Ave, Fort Worth, TX 76127-1133 | 2006-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942654462 | Damon A Cates | Physician Assistant | Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 | 2016-04-21 |
| 1821332628 | Patricia Byrd | Psychologist | 3000 'j' Street, Fort Worth, TX 76127 | 2012-11-16 |
| 1992976435 | Carlos Estevez | Physical Therapist | J Street Building 3000, Naval Air Station, Fort Worth, TX 76127 | 2008-03-12 |
| 1346284064 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1880 Mlty Pky, Ft. Worth, TX 76127 | 2006-06-15 |
| 1679516330 | Texas Exchange Eye Care, L.p. | Optometrist | 1880 Military Parkway, Building 1880, Fort Worth, TX 76127 | 2006-06-13 |
| 1073571428 | Alysa Michele Jackson | Social Worker | 3000 'j' Street, Federal Medical Center, Carswell, Fort Worth, TX 76127 | 2006-05-03 |
| 1659366219 | Jeanette Grullon-mejia | Family Medicine | J Street, Building 3000, Fort Worth, TX 76127 | 2005-09-20 |
| 1700126570 | Dr Buie & Associates PC | Optometrist | 1880 Military Parkway, Ft. Worth, TX 76127 | 2013-02-15 |
| 1194022566 | William Resto-rivera | Military Health Care Provider | J Street Bldg 3000, Federal Medical Center Carswell, Fort Worth, TX 76127-0066 | 2011-02-22 |
| 1275961328 | Fort Worth Health Rejuvenation | Nursing Facility/Intermediate Care Facility | 3253 Desert Storm Rd, Fort Worth, TX 76127-1029 | 2013-10-29 |
| Find all providers in zip 76127 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1629681952 | Anum Bashwani | Physician Assistant | 5601 Bridge St Ste 450, Fort Worth, TX 76112-2305 | 2020-08-26 |
| 1780200881 | Emily Brown Holloway | Physician Assistant | 1904 Turner Ridge Dr Apt 5202, Fort Worth, TX 76110-2499 | 2020-06-24 |
| 1679196570 | Maria Cristela Mosso | Physician Assistant | 4521 S Hulen St Ste 118, Fort Worth, TX 76109-4954 | 2020-05-26 |
| 1679195978 | Jacob Torre | Physician Assistant | 1701 River Run Ste 1118, Fort Worth, TX 76107-6557 | 2020-05-11 |
| 1871122382 | Kenaud Jeune | Physician Assistant | 5817 Fairglen Ave Apt 312, Fort Worth, TX 76137-6810 | 2020-04-06 |
| 1922635648 | Lauren Elizabeth Studey | Physician Assistant | 3470 Sagecrest Ter, Fort Worth, TX 76109-2555 | 2020-03-24 |
| 1033743612 | James Bregg Reedy | Physician Assistant | 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 | 2020-02-24 |
| 1992335194 | Alexandria Christine Rios | Physician Assistant | 5904 Rockhill Rd, Fort Worth, TX 76112-3047 | 2020-01-16 |
| 1982253605 | Kelly Ann Klein | Physician Assistant | 6708 River Bend Rd, Fort Worth, TX 76132-1108 | 2019-09-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76127 |
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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.