OLIVER LEE KESTERSON III (NPI# 1306997515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306997515 |
| Entity Type | Individual |
| Full Name | OLIVER LEE KESTERSON III |
| Credential | M.D. |
| Practice Address |
1000 Houston Street Suite 200 Fort Worth TX 76102-6415 |
| Practice Telephone | 8173360551 |
| Practice Fax Number | 8883163855 |
| Mailing Telephone | 8173360551 |
| Mailing Fax Number | 8883163855 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 18384 | MS | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | F9664 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 646000515 | 01 | |
| MS | OK04289020 | 05 | |
| TX | TRICARE | 646000515 | 01 |
| Street Address |
1000 HOUSTON STREET SUITE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102-6415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073584561 | Gerard Poche | Anesthesiology | 1000 Houston Street, Suite 200, Fort Worth, TX 76102 | 2006-02-01 |
| 1740629591 | Amanda Shay Tice | Nurse Practitioner | 1000 Houston Street, Suite 200, Fort Worth, TX 76102 | 2013-06-14 |
| 1598081580 | Julie Anne Campbell | Specialist/Technologist, Other | 1000 Houston Street, Suite 200, Fort Worth, TX 76102 | 2010-04-15 |
| 1275545261 | Margaret M Norstebon | Physical Therapist | 1000 Houston Street, Suite 200, Fort Worth, TX 76102 | 2006-08-12 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122851 | Taylor Leigh Whiddon | Neurological Surgery | 1000 Houston St Ste 200, Fort Worth, TX 76102-6415 | 2018-08-06 |
| 1871979674 | Steven Robert Souders | Neurological Surgery | 3124 N Tarrant Pkwy Ste 200, Fort Worth, TX 76177-8618 | 2015-08-04 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1578989976 | Aledo Iom LLC | Neurological Surgery | 500 Throckmorton St., #3012, Fort Worth, TX 76102 | 2014-03-10 |
| 1689005019 | Brain and Ear Management, LLC | Neurological Surgery | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2013-12-11 |
| 1144436585 | Atif Haque | Neurological Surgery | 5701 Bryant Irvin Rd Ste 304, Fort Worth, TX 76132-4027 | 2007-05-15 |
| 1861504136 | Vinit Mehrotra, Md, Pa | Neurological Surgery | 1650 W Rosedale, # 301, Fort Worth, TX 76104-7400 | 2006-08-31 |
| 1548297641 | Richard O Hubbard | Neurological Surgery | 1824 Westover Sq, Fort Worth, TX 76107-3501 | 2006-06-26 |
| 1861436586 | Leighton Brown Parker | Neurological Surgery | 800 8th Avenue, Suite 118, Fort Worth, TX 76104 | 2006-06-15 |
| 1891735684 | Samir B Lapsiwala | Neurological Surgery | 1900 Mistletoe Blvd Ste 200, Fort Worth, TX 76104-4049 | 2006-06-08 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
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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.