PAUL TAVAKOLIAN (NPI# 1114347408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114347408 |
| Entity Type | Individual |
| Full Name | PAUL TAVAKOLIAN |
| Credential | MD |
| Practice Address |
2425 Highway 121 Bedford TX 76021-5011 |
| Practice Telephone | 8175404477 |
| Practice Fax Number | 8175405633 |
| Mailing Telephone | 8175104083 |
| Mailing Fax Number | 8175100185 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | R6117 | TX | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
R6117 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 752357708 | 2145908058 |
| Street Address |
2425 HIGHWAY 121 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033196050 | Oscar David Taunton Jr. | Orthopaedic Surgery | 2425 Highway 121, Bedford, TX 76021-5011 | 2005-12-30 |
| 1497214126 | April Marie Boldt | Physician Assistant | 2425 Highway 121, Bedford, TX 76021-5011 | 2019-03-12 |
| 1255805669 | Maggie Louise Horan | Specialist/Technologist | 2425 Highway 121, Bedford, TX 76021-5011 | 2019-01-18 |
| 1891265385 | Lauren Michelle Hooper | Physician Assistant | 2425 Highway 121, Bedford, TX 76021-5011 | 2018-11-28 |
| 1427550276 | Lauren Hutchinson | Specialist/Technologist | 2425 Highway 121, Bedford, TX 76021-5011 | 2018-03-07 |
| 1326403742 | Jennifer Drown | Specialist/Technologist | 2425 Highway 121, Bedford, TX 76021-5011 | 2015-12-30 |
| 1073989612 | Scott Bulger | Physical Therapist | 2425 Highway 121, Bedford, TX 76021-5011 | 2015-08-18 |
| 1891176079 | Whitney Gulde | Physician Assistant | 2425 Highway 121, Bedford, TX 76021-5011 | 2015-06-14 |
| 1396132056 | Lisa Sue Ellis | Physical Therapist | 2425 Highway 121, Bedford, TX 76021-5011 | 2015-04-21 |
| 1932522802 | Brandon Lee Stafford | Specialist/Technologist | 2425 Highway 121, Bedford, TX 76021-5011 | 2014-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003243429 | Four Seasons Orthopaedic Center Pa | Orthopaedic Surgery | 9 Washington Place, Suite 101, Bedford, NH 03110 | 2013-09-30 |
| 1780885004 | University Primary Care Practices Inc | Orthopaedic Surgery | 50 Blaine Ave # 2300, Bedford, OH 44146-2709 | 2007-05-31 |
| 1699976225 | Dunn Memorial Hospital | Orthopaedic Surgery | 1618 25th St, Bedford, IN 47421-5000 | 2007-05-30 |
| 1982738100 | Harlen C Hunter | Orthopaedic Surgery | 604 Heltonville Rd E, Bedford, IN 47421 | 2007-03-16 |
| 1649208539 | James C Vailas | Orthopaedic Surgery | 9 Washington Plance, Bedford, NH 03110 | 2006-06-29 |
| 1033196050 | Oscar David Taunton Jr. | Orthopaedic Surgery | 2425 Highway 121, Bedford, TX 76021-5011 | 2005-12-30 |
| 1427039445 | Robert G Kadoko | Orthopaedic Surgery | 2008 L Don Dodson Dr Ste 110, Bedford, TX 76021-1844 | 2005-11-08 |
| 1659375624 | James B Rickert I | Orthopaedic Surgery | 2900 16th St, Bedford, IN 47421-3510 | 2005-06-08 |
| 1225473671 | Nathan Boydston Haile | Orthopaedic Surgery | 2425 Highway 121, Bedford, TX 76021-5011 | 2013-04-29 |
| 1770840654 | Centra Health Professional Services, LLC | Orthopaedic Surgery | 1613 Oakwood St, Suite 101, Bedford, VA 24523-1213 | 2012-04-18 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on PAUL TAVAKOLIAN.
| 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.