MS. POONAM C BENAKATTI (NPI# 1265811806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265811806 |
| Entity Type | Individual |
| Full Name | MS. POONAM C BENAKATTI |
| Credential | BS |
| Practice Address |
500 Throckmorton Street Unit 3012 Fort Worth TX 76102 |
| Practice Telephone | 8179085292 |
| Practice Fax Number | 8178857339 |
| Mailing Telephone | 8179085292 |
| Mailing Fax Number | 8178857339 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
500 THROCKMORTON STREET UNIT 3012 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689005019 | Brain and Ear Management, LLC | Neurological Surgery | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2013-12-11 |
| 1538617857 | Gianna E Lastimosa | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2016-09-15 |
| 1982152260 | Jennifer D Vivas | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2016-09-15 |
| 1598133241 | Tarrantverse Idm LLC | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-09-11 |
| 1114395860 | Colinasverse Iom LLC | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-09-11 |
| 1316326606 | Lori E Avery | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-05-20 |
| 1407233554 | Alexis Aceves | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-04-28 |
| 1699162362 | Dave R Mendez | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-04-21 |
| 1295121440 | Azleverse Neuromonitoring LLC | Specialist | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2015-04-14 |
| 1346648730 | Myeuverse Iom LLC | Psychiatry & Neurology | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2014-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1245743061 | Patrick A Lastimosa | Specialist/Technologist, Other | 500 Throckmorton St Apt 3309, Fort Worth, TX 76102-3820 | 2017-11-15 |
| 1336679638 | Hypnic Diagnostics LLC | Specialist/Technologist, Other | 6387 Camp Bowie Blvd Ste B, Pmb #324, Fort Worth, TX 76116-5486 | 2017-06-19 |
| 1366972697 | Shortwave Diagnostics LLC | Specialist/Technologist, Other | 3501 Sycamore School Rd Ste 125, Pmb #312, Fort Worth, TX 76133-7826 | 2017-06-19 |
| 1780047852 | Mustang Neurodiagnostics, Pllc | Specialist/Technologist, Other | 8553 N Beach St # 394, Fort Worth, TX 76244-4919 | 2016-04-05 |
| 1740662667 | Davinci Neuromonitoring LLC | Specialist/Technologist, Other | 5573 Seabury Dr, Fort Worth, TX 76137-5393 | 2015-06-27 |
| 1083019095 | Nexus Diagnostics LLC | Specialist/Technologist, Other | 964 Jockey Club Ln, Fort Worth, TX 76179-2358 | 2014-11-03 |
| 1982907143 | Neuro Diagnostic Home Services, LLC | Specialist/Technologist, Other | 1120 S Freeway, Suite 204, Fort Worth, TX 76104-5064 | 2010-12-09 |
| 1881230670 | De Anne Simon | Specialist/Technologist, Other | 201 Main St Ste 600, Fort Worth, TX 76102-3110 | 2019-11-27 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
Please comment or provide details below to improve the information on MS. POONAM C BENAKATTI.
| 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.