FCI FORT WORTH (NPI# 1346592029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346592029 |
| Entity Type | Organization |
| Organization Name | FCI FORT WORTH |
| Practice Address |
3150 Horton Rd Forest Hill TX 76119-5905 |
| Practice Telephone | 8175348400 |
| Mailing Telephone | 8175348400 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | VERONICA KAETHER (SCS) |
| Authorized Official Telephone | 8175348400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | TX | Managed Care Organizations |
| Street Address |
3150 HORTON RD |
| City | FOREST HILL |
| State | TX |
| Zip Code | 76119-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275733446 | Federal Correctional Institution | Community/Behavioral Health | 3150 Horton Rd, Forest Hill, TX 76119-5905 | 2007-07-24 |
| 1205461621 | Martin Kyle Frykman | Nurse Practitioner | 3150 Horton Rd, Forest Hill, TX 76119-5905 | 2020-03-05 |
| 1780198762 | Andrew B Ratliff Jr. | Nurse Practitioner | 3150 Horton Rd, Forest Hill, TX 76119-5905 | 2017-11-29 |
| 1497295919 | Patrice Michelle Garcia- | Nurse Practitioner | 3150 Horton Rd, Forest Hill, TX 76119-5905 | 2017-03-02 |
| 1851654271 | Taneka M Walker | Nurse Practitioner | 3150 Horton Rd, Suite 310, Forest Hill, TX 76119-5905 | 2012-06-20 |
| 1760792469 | Larry Wayne Brockman | Physician Assistant | 3150 Horton Rd, Forest Hill, TX 76119-5905 | 2010-10-14 |
| 1790941995 | Lawrence Edward Huber | General Practice | 3150 Horton Rd, Forest Hill, TX 76119-5905 | 2008-08-06 |
| 1306037445 | Robert Eric Johnson | Psychologist | 3150 Horton Rd, Forest Hill, TX 76119-5905 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1750859476 | Hooray Health, LLC | Exclusive Provider Organization | 15305 Dallas Pkwy Ste 150, Addison, TX 75001-6749 | 2018-11-12 |
| 1780193045 | Elite Medical Credentialing & Consulting Services | Exclusive Provider Organization | 1411 Cherry Springs Ct, Missouri City, TX 77459-3469 | 2017-09-29 |
| 1265966196 | Admirable Provider Services LLC | Exclusive Provider Organization | 13202 Briar Forest Dr Apt 4264, Houston, TX 77077-2458 | 2017-04-18 |
| 1194259440 | Live Positive Health Care | Exclusive Provider Organization | 5009 N 16th St, Mcallen, TX 78504-3506 | 2017-04-13 |
| 1659805976 | Advanced Pain and Headache Medical Clinic | Exclusive Provider Organization | 4151 Southwest Fwy Ste 720, Houston, TX 77027-7308 | 2017-04-13 |
| 1760915441 | Creation of Tomorrow | Exclusive Provider Organization | 6305 General Ln, Arlington, TX 76018-3069 | 2017-04-10 |
| 1295272524 | Memorial Pharmacy Inc | Exclusive Provider Organization | 11383 Veterans Memorial Dr, Houston, TX 77067-3800 | 2017-01-25 |
| 1184169732 | Caring Hands | Exclusive Provider Organization | 11628 Argonne Trl, A, Austin, TX 78729-2021 | 2017-01-05 |
| 1295278026 | Noah Residential Care Services, LLC | Exclusive Provider Organization | 3810 Harlan Dr, Sachse, TX 75048-1912 | 2016-11-28 |
| 1912458191 | Jlove Healthcare Services Inc | Exclusive Provider Organization | 2015 Sandy Knoll Dr, Missouri City, TX 77489-3073 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
| City | FOREST HILL |
| Zip Code | 76119 |
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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.