GEORGE KOSTOHRYZ, JR., M.D., P.A. (NPI# 1346665338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346665338 |
Entity Type | Organization |
Organization Name | GEORGE KOSTOHRYZ, JR., M.D., P.A. |
Practice Address |
4625 Boat Club Rd Ste 257 Fort Worth TX 76135-7023 |
Practice Telephone | 8173466464 |
Practice Fax Number | 8172382358 |
Mailing Telephone | 8173466464 |
Mailing Fax Number | 8172382358 |
Enumeration Date | 2014-02-27 |
Last Update Date | 2014-02-27 |
Authorized Official Name | GEORGE KOSTOHRYZ JR. (PHYSICIAN) |
Authorized Official Telephone | 8173466464 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | E8642 | TX | Allopathic & Osteopathic Physicians |
Street Address |
4625 BOAT CLUB RD STE 257 |
City | FORT WORTH |
State | TX |
Zip Code | 76135-7023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294106 | Christina Ann Cadden | Nurse Practitioner | 4625 Boat Club Rd Ste 257, Fort Worth, TX 76135-7023 | 2020-10-27 |
1669088985 | Jennifer Lynn Middlebrooks | Audiologist-Hearing Aid Fitter | 4625 Boat Club Rd Ste 257, Fort Worth, TX 76135-7023 | 2020-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
1750882056 | Kandess Klein | Licensed Vocational Nurse | 8825 Claiborn St, Lakeside, TX 76135 | 2018-02-22 |
1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
1598207821 | Young Men's Christian Association of Metropolitan Fort Worth | Health Educator | 5315 Boat Club Rd, Fort Worth, TX 76135 | 2016-11-17 |
1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
1316300999 | National Vision, Inc. | Technician/Technologist | 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 | 2016-04-01 |
1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
1316134125 | Home Town Dental,pa | Dentist | 6332 Lake Worth, Lake Worth, TN 76135 | 2007-09-26 |
1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
1457570053 | Dawn Denise Ezelle | Occupational Therapy Assistant | 3400 Marine Drive, Fort Worth, TX 76135 | 2007-04-24 |
Find all providers in zip 76135 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720437155 | Central Park Ear Nose & Throat LLP Fort Worth | Otolaryngology | 800 8th Ave Ste 618, Fort Worth, TX 76104-2605 | 2016-06-07 |
1194154724 | Olicolas Monitoring P.a. | Otolaryngology | 500 Throckmorton 3012, Fort Worth, TX 76102 | 2013-11-04 |
1639441751 | Texas Health Care Pllc | Otolaryngology | 1250 8th Avenue, Suite 205, Fort Worth, TX 76104-4158 | 2012-02-06 |
1619266905 | Texas Health Care, P.l.l.c. | Otolaryngology | 5801 Oakbend Trail, Suite 260, Fort Worth, TX 76132-3923 | 2011-04-07 |
1831416932 | Masoud Saman | Otolaryngology | 923 Pennsylvania Ave Ste 100, Fort Worth, TX 76104-2254 | 2010-04-28 |
1316276744 | Texas Health Care, P.l.l.c. | Otolaryngology | 800 8th Ave,. Suite 626, Fort Worth, TX 76104-2605 | 2009-12-14 |
1730381310 | Marc Richard Dean | Otolaryngology | 901 Hemphill St., Fort Worth, TX 76104-3111 | 2007-06-05 |
1780800938 | Jeremy Paul Watkins | Otolaryngology | 5751 Edwards Ranch Road, Suite 200, Fort Worth, TX 76109 | 2007-04-17 |
1891861779 | Texas Health Care, P.l.l.c. | Otolaryngology | 901 Hemphill, Fort Worth, TX 76104-3111 | 2006-11-24 |
1538186150 | Andrew A Vories | Otolaryngology | 923 Pennsylvania Ave, Suite 200, Fort Worth, TX 76104-2254 | 2006-07-17 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76135 |
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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.