PAT A PETERS MD PA (NPI# 1114443181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114443181 |
| Entity Type | Organization |
| Organization Name | PAT A PETERS MD PA |
| Practice Address |
4501 Heritage Trace Pkwy Ste 101 Fort Worth TX 76244-8940 |
| Mailing Address |
2535 Ira E Woods Ave Grapevine TX 76051-3930 |
| Practice Telephone | 8174812121 |
| Practice Fax Number | 8174884493 |
| Mailing Telephone | 8174812121 |
| Mailing Fax Number | 8174884493 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | LORA FULMER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8174812121 |
| Authorized Official Credential | MBA, CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2535 Ira E Woods Ave, Grapevine, TX 760513930 | 8174812121 | 8174884493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306914312 | Pat A Peters Md Pa | Orthopaedic Surgery | 2535 Ira E Woods, Grapevine, TX 76051-3909 | 2006-11-30 |
| Street Address |
4501 HERITAGE TRACE PKWY STE 101 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-8940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| 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 |
|---|---|---|---|---|
| 1992263628 | Dr Ben Deheshi Orthopedics Pllc | Orthopaedic Surgery | 909 9th Ave Ste 200, Fort Worth, TX 76104-3916 | 2019-03-12 |
| 1194197137 | William G. Coleman, M.d.,p.a. | Orthopaedic Surgery | 1300 W. Rosedale Suite B, Fort Worth, TX 76104 | 2015-10-29 |
| 1134418312 | Eric Anthony Barcak | Orthopaedic Surgery | 1500 S Main St Fl 2, Fort Worth, TX 76104-4917 | 2011-03-28 |
| 1962723791 | William S. Crawford | Orthopaedic Surgery | 800 5th Ave Ste 300a, Fort Worth, TX 76104-7300 | 2010-06-16 |
| 1982831624 | Ryan Scott Reardon | Orthopaedic Surgery | 801 W. Terrell Ave., Fort Worth, TX 76104-3100 | 2009-06-21 |
| 1447445267 | Allen S. Kent, Md, Pa | Orthopaedic Surgery | 800 12th Ave Ste 200, Fort Worth, TX 76104-2519 | 2007-09-14 |
| 1679612675 | Brook A. Adams | Orthopaedic Surgery | 7000 Bryant Irvin Rd Ste 108, Fort Worth, TX 76132-4251 | 2007-02-06 |
| 1013069780 | Mark P Kuper | Orthopaedic Surgery | 6251 Oakmont Blvd, Fort Worth, TX 76132-3119 | 2007-01-16 |
| 1720144181 | Texas Health Care, P.l.l.c. | Orthopaedic Surgery | 1651 W. Rosedale, Suite 200, Fort Worth, TX 76104-7437 | 2006-12-29 |
| 1700952686 | Texas Health Care, P.l.l.c. | Orthopaedic Surgery | 1300 W. Rosedale, Suite B, Fort Worth, TX 76104-2824 | 2006-11-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
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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.