ROSS TERADA (NPI# 1114580792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114580792 |
Entity Type | Individual |
Full Name | ROSS TERADA |
Practice Address |
3500 Camp Bowie Blvd Fort Worth TX 76107-2644 |
Practice Telephone | 8177352000 |
Enumeration Date | 2019-04-18 |
Last Update Date | 2019-04-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | TX | Student, Health Care |
Street Address |
3500 CAMP BOWIE BLVD |
City | FORT WORTH |
State | TX |
Zip Code | 76107-2644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568460202 | Lawrence J Cohen | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2005-07-07 |
1033716287 | Lara Lai | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-10-01 |
1659907517 | Marian Gaviola | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-03-22 |
1184266876 | Ashlyn Aguiniga | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-10-14 |
1811461494 | Patrick Gerard Clay | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-01-16 |
1043786478 | Crystal Howell | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2018-10-24 |
1891291480 | Maricar Conson | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2018-04-02 |
1871033837 | Thomas William Cawood | Student in an Organized Health Care Education/Training Program | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2017-02-24 |
1437606282 | Jose Ortiz | Physician Assistant | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2016-09-08 |
1760843452 | Wei Cheng Yuet | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2016-03-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
Find all providers in zip 76107 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607373 | Benjamin Allen Barrett | Student in an Organized Health Care Education/Training Program | 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 | 2020-10-17 |
1538766597 | Billy Derek Huddleston | Student in an Organized Health Care Education/Training Program | 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 | 2020-10-02 |
1942828371 | Ellener Harper | Student in an Organized Health Care Education/Training Program | 9232 Oldwest Trl, Fort Worth, TX 76131-3114 | 2020-07-13 |
1396374005 | Mikel Robert Bell | Student in an Organized Health Care Education/Training Program | 855 Montgomery St Ste 257, Fort Worth, TX 76107-2553 | 2020-04-04 |
1750919171 | William Thomas Cates | Student in an Organized Health Care Education/Training Program | 3248 W 7th St Apt 308, Fort Worth, TX 76107-2804 | 2020-03-31 |
1710514690 | Javier Eduardo Ordonez | Student in an Organized Health Care Education/Training Program | 3512 Princess Victoria Ct, Fort Worth, TX 76137-6074 | 2020-03-23 |
1548896749 | Eric Bash | Student in an Organized Health Care Education/Training Program | 6137 Obsidian Creek Dr, Fort Worth, TX 76179-1543 | 2020-03-19 |
1700417821 | Abigail U Davis | Student in an Organized Health Care Education/Training Program | 5113 Glen Canyon Rd, Fort Worth, TX 76137-4104 | 2020-01-28 |
1699312439 | Lacey Jane Arnett | Student in an Organized Health Care Education/Training Program | 3305 West Cantey St, Fort Worth, TX 76129-0001 | 2019-11-27 |
1699322396 | Anastasia Davis | Student in an Organized Health Care Education/Training Program | 3628 Woodmoor Rd, Fort Worth, TX 76133-6336 | 2019-08-19 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76107 |
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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.