RICHARD TODD DOMBROSKI (NPI# 1144209552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144209552 |
| Entity Type | Individual |
| Full Name | RICHARD TODD DOMBROSKI |
| Other Name | TODD DOMBROSKI |
| Credential | DO |
| Practice Address |
6913 Camp Bowie Blvd Ste 107 Fort Worth TX 76116-7164 |
| Mailing Address |
8332 Whippoorwill Dr Fort Worth TX 76123-1994 |
| Practice Telephone | 8173679289 |
| Mailing Telephone | 8174120877 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Q3358 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | Q3358 | TX | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Q3358 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 344044801 | 05 | |
| TX | BCBS | 8FA814 | 01 |
| TX | 344044804 | 05 | |
| TX | BCBS | 8FA812 | 01 |
| TX | RAILROAD MEDICARE | P01609114 | 01 |
| Street Address |
6913 CAMP BOWIE BLVD STE 107 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116-7164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489103 | Dante Paredes | Neuromusculoskeletal Medicine & OMM | 855 Montgomery St Fl 2, Fort Worth, TX 76107-2553 | 2015-06-14 |
| 1710367446 | Marissa May Zajac | Neuromusculoskeletal Medicine & OMM | 5521 Bellaire Dr S Ste 114b, Fort Worth, TX 76109-5855 | 2015-06-08 |
| 1366498438 | David Edward Teitelbaum | Neuromusculoskeletal Medicine & OMM | 4455 Camp Bowie Blvd, Suite 214, Fort Worth, TX 76107-3864 | 2006-05-26 |
| 1275506644 | Scott T Stoll | Neuromusculoskeletal Medicine & OMM | 5717 Edwards Ranch Rd, Fort Worth, TX 76109-4116 | 2006-02-08 |
| 1407829641 | John Licciardone | Neuromusculoskeletal Medicine & OMM | Unthsc Patient Care Center, 999 Montgomery, Fort Worth, TX 76107 | 2006-02-08 |
| 1548623044 | Nathan Williams | Neuromusculoskeletal Medicine & OMM | 855 Montgomery St Fl 2, Fort Worth, TX 76107-2553 | 2016-04-01 |
| 1013384775 | Lesley Schmitz D.o. and Associates | Neuromusculoskeletal Medicine & OMM | 4545 Bellaire Dr S, Suite 200, Fort Worth, TX 76109-1889 | 2015-08-28 |
| 1700267481 | Matthew Barker | Neuromusculoskeletal Medicine & OMM | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2015-06-18 |
| 1609257971 | Malinda Hansen | Neuromusculoskeletal Medicine & OMM | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2015-06-12 |
| 1174930408 | Kevin Holmewood | Neuromusculoskeletal Medicine & OMM | 3500 Camp Bowie Blvd, Pcc 2nd Floor; PCc 6th Floor, Fort Worth, TX 76107-2644 | 2014-07-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
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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.