SHELLY M HARVEY (NPI# 1255325403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255325403 |
| Entity Type | Individual |
| Full Name | SHELLY M HARVEY |
| Credential | MD |
| Practice Address |
600 S Main St Fort Worth TX 76104 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-7208 |
| Practice Telephone | 8178822400 |
| Mailing Telephone | 8178822400 |
| Mailing Fax Number | 9725668837 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | L4428 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1582256-01 | 05 | |
| BCBS | 8A9171 | 01 | |
| LA | 1741256 | 05 | |
| OK | 200032380A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7777 Forest Ln, B332, Dallas, TX 752306822 | 9725667788 | 9725668837 |
| Street Address |
600 S MAIN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285266965 | Amanda Rose Richter Mccreight | Physical Therapist | 600 S Main St, Fort Worth, TX 76104-2410 | 2020-02-10 |
| 1164060299 | Lindsey Martin | Occupational Therapist | 600 S Main St, Fort Worth, TX 76104-2410 | 2019-12-19 |
| 1073150991 | Shandra Banks | Pharmacist | 600 S Main St, Fort Worth, TX 76104-2410 | 2019-12-10 |
| 1831586601 | Brooke Samantha Mills | Internal Medicine | 600 S Main St, Fort Worth, TX 76104-2410 | 2015-04-20 |
| 1629403191 | Horacio Chiong-rivero | Psychiatry & Neurology | 600 S Main St, Fort Worth, TX 76104-2410 | 2013-09-03 |
| 1215241187 | Luigino Rolando Mateo Bernabela | Internal Medicine | 600 S Main St, Fort Worth, TX 76104-2410 | 2010-08-03 |
| 1780641829 | Nuha Riyad Said | Internal Medicine | 600 S Main St, Fort Worth, TX 76104-2410 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457575615 | Swapnil Vaidya | Allergy & Immunology | 9433 N Beach St Ste 111, Fort Worth, TX 76244 | 2007-04-12 |
| 1891848271 | Andrew Dodson Beaty | Allergy & Immunology | 4200 S Hulen St Ste 230, Fort Worth, TX 76109-4924 | 2007-01-19 |
| 1124063706 | James R Haden, Md, Pa | Allergy & Immunology | 1000 College Ave, Fort Worth, TX 76104-3033 | 2006-06-18 |
| 1700833647 | James Cameron Thompson | Allergy & Immunology | 7200 Dutch Branch Rd, Suite 200, Fort Worth, TX 76132-4143 | 2006-05-27 |
| 1114987013 | Robert Fenton | Allergy & Immunology | 412 S Henderson St, Fort Worth, TX 76104-1017 | 2006-03-24 |
| 1619970969 | Robert J. Rogers | Allergy & Immunology | 5929 Lovell Ave, Fort Worth, TX 76107-5029 | 2005-05-31 |
| 1649492679 | Mudita Shah | Allergy & Immunology | 800 8th Ave, Suite 324, Fort Worth, TX 76104-2601 | 2007-05-02 |
| 1699896704 | Rajendra K. Tanna, M.d., P.a. | Allergy & Immunology | 1000 College Ave, Fort Worth, TX 76104-3033 | 2007-04-03 |
| 1740345248 | William F Cothern, D.o., P.a. | Allergy & Immunology | 4201 Camp Bowie Blvd, Ste A, Fort Worth, TX 76107-3928 | 2006-12-26 |
| 1588691125 | James Russell Haden | Allergy & Immunology | 1000 College Ave, Fort Worth, TX 76104-3033 | 2006-06-27 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.