JPS PHYSICIAN GROUP, INC (NPI# 1285912931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285912931 |
| Entity Type | Organization |
| Organization Name | JPS PHYSICIAN GROUP, INC |
| Other Organization Name | SOUTHWEST SPORTS AND SPINE CENTER |
| Practice Address |
1617 Hemphill St Fort Worth TX 76104-4709 |
| Mailing Address |
7148 Trail Lake Dr Fort Worth TX 76123-1969 |
| Practice Telephone | 8179206245 |
| Mailing Telephone | 8179206245 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |
| Authorized Official Name | WILLIAM JOHNSON (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8179203887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southwest Sports and Spine Center | Doing Business As Name - Organization |
| Street Address |
1617 HEMPHILL ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487616561 | Cynthia Anne Claassen | Psychologist | 1617 Hemphill St, Fort Worth, TX 76104 | 2006-04-05 |
| 1447802814 | Stefanie Lynn Smith | Physician Assistant | 1617 Hemphill St, Fort Worth, TX 76104-4709 | 2019-07-15 |
| 1073087805 | Kosisochukwu Mora | Physician Assistant | 1617 Hemphill St, Fort Worth, TX 76104-4709 | 2019-01-15 |
| 1760954655 | Sofia Mohammad Abdulaziz | Physician Assistant | 1617 Hemphill St, Fort Worth, TX 76104-4709 | 2018-12-18 |
| 1821595554 | Katherine Mary Weber | Psychologist | 1617 Hemphill St, Fort Worth, TX 76104-4709 | 2018-04-09 |
| 1760993398 | Ifeoma Nwankwo | Nurse Practitioner | 1617 Hemphill St, Fort Worth, TX 76104 | 2017-10-23 |
| 1215395405 | Ashley Baillio | Nurse Practitioner | 1617 Hemphill St, Fort Worth, TX 76104-4709 | 2016-02-03 |
| 1659633311 | Michele D. Lightfoot | Nurse Practitioner | 1617 Hemphill St, Fort Worth, TX 76104-4709 | 2012-06-08 |
| 1164782256 | Yukyung Jung | Psychiatry & Neurology | 1617 Hemphill St, Fort Worth, TX 76104-4709 | 2012-05-22 |
| 1528397122 | Wei Yu | Physician Assistant | 1617 Hemphill St, Jps Physician Group, Fort Worth, TX 76104-4709 | 2009-12-10 |
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| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528603495 | Mark Garza, M.d., Pllc | Family Medicine | 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 | 2019-11-14 |
| 1831645217 | Extra Care Concerns | Family Medicine | 2529 E Lancaster Ave, Suite A, Fort Worth, TX 76103-2253 | 2016-08-26 |
| 1386613842 | Christopher R Mann | Family Medicine | 5601 Bridge St Ste 550, Fort Worth, TX 76112-9502 | 2006-03-16 |
| 1396354171 | Jeffery K Hawkins, Md, Pllc | Family Medicine | 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1279 | 2020-07-28 |
| 1316430580 | Jeffery K Hawkins, Md, Pllc | Family Medicine | 7148 Trail Lake Dr, Fort Worth, TX 76123-1969 | 2018-06-12 |
| 1154841963 | Mark Garza, M.d., Pllc | Family Medicine | 7148 Trail Lake Dr, Fort Worth, TX 76123-1969 | 2017-06-22 |
| 1639435266 | Elizabeth Mirdza Batterton | Family Medicine | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2012-04-09 |
| 1225235179 | Robert David Menzies | Family Medicine | 7148 Trail Lake Dr, Fort Worth, TX 76123-1969 | 2007-07-02 |
| 1730178427 | James J Barbee | Family Medicine | 1500 S Main St, Arlington Orthopedic and Sports Clinic, Fort Worth, TX 76104-4917 | 2005-10-17 |
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|---|---|---|---|---|
| 1154922755 | David Conrad Ortmeier | Family Medicine | 4900 Wichita Trl, Flower Mound, TX 75022-5628 | 2020-11-02 |
| 1639704042 | Tahnee Rae Beal | Family Medicine | 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 | 2020-03-05 |
| 1760027643 | Mark Garza, M.d., Pllc | Family Medicine | 131 S Westmeadow Dr, Cleburne, TX 76033-4586 | 2019-11-14 |
| 1265092043 | Texas Federal Wellness Center of Mcallen Pllc | Family Medicine | 4501 W Expressway 83 Ste 50, Mcallen, TX 78503-0029 | 2019-06-14 |
| 1235792524 | Celina Family Practice Pllc | Family Medicine | 701 N Preston Rd Ste 200, Celina, TX 75009-3777 | 2019-04-22 |
| 1164902409 | Dna Medical | Family Medicine | 3736 Bee Caves Rd Ste 9, West Lake Hills, TX 78746-5378 | 2018-08-16 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| 1063910842 | Running Wild Sea, LLC | Family Medicine | 8557 Research Blvd Ste 128, Austin, TX 78758-7855 | 2018-01-26 |
| 1134633050 | The University of Texas Rio Grande Valley | Family Medicine | 1201 West University Dr., Utrgv Dept of Intercollegiate Athletics, Edinburg, TX 78539 | 2017-11-30 |
| 1932598513 | Letourneau University | Family Medicine | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2015-01-20 |
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| 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.