RADIOLOGY ASSOCIATES OF NORTH TEXAS PA


Address: 815 Pennsylvania Ave, Fort Worth, TX 76104-2224
Phone: 8173210312

RADIOLOGY ASSOCIATES OF NORTH TEXAS PA (NPI# 1417017195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417017195
Entity Type Organization
Organization Name RADIOLOGY ASSOCIATES OF NORTH TEXAS PA
Other Organization Name PENNSYLVANIA AVENUE IMAGING CENTER
Practice Address 815 Pennsylvania Ave
Fort Worth
TX 76104-2224
Mailing Address 816 W Cannon St
Fort Worth
TX 76104-3146
Practice Telephone 8173210312
Practice Fax Number 8173177033
Mailing Telephone 8173210312
Mailing Fax Number 8173177033
Enumeration Date 2006-12-11
Last Update Date 2012-08-31
Authorized Official Name DR. JOHN A QUERALT (PRESIDENT)
Authorized Official Telephone 8173210312
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
TX Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
TX Allopathic & Osteopathic Physicians
N 2085N0904X Radiology
Specialization: Nuclear Radiology
TX Allopathic & Osteopathic Physicians
N 2085P0229X Radiology
Specialization: Pediatric Radiology
Allopathic & Osteopathic Physicians
N 2085B0100X Radiology
Specialization: Body Imaging
TX Allopathic & Osteopathic Physicians
N 2085N0700X Radiology
Specialization: Neuroradiology
TX Allopathic & Osteopathic Physicians
Y 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 121715001 05
TX 121715002 05

Other Provider/Organization Names

Other Name Type Code
Pennsylvania Avenue Imaging Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720147838 Radiology Associates of North Texas Pa Radiology 4601 Matlock Rd, Arlington, TX 76018-1005 2006-12-06
1861551046 Radiology Associates of North Texas Pa Radiology 2911 Oak Park Cir, Fort Worth, TX 76109-1893 2006-12-06
1851450969 Radiology Associates of North Texas Pa Radiology 525 E Southlake Blvd, Southlake, TX 76092-6235 2006-12-06
1336440171 Radiology Associates of North Texas Pa Radiology 1220 Paluxy Medical Circle, Ste 101, Granbury, TX 76048-7902 2010-11-10
1568521680 Radiology Associates of North Texas Pa Radiology 1429 Clear Lake Rd, Ste 400, Weatherford, TX 76086-5805 2006-12-06
1740349703 Radiology Associates of North Texas Pa Radiology 801 Road To Six Flags W, Suite 106, Arlington, TX 76012-2616 2006-12-06
1073672192 Radiology Associates of North Texas Pa Radiology 7415 Las Colinas Blvd, Irving, TX 75063-7568 2006-12-06

Office Location

Street Address 815 PENNSYLVANIA AVE
City FORT WORTH
State TX
Zip Code 76104-2224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627994 David A Fenyes Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2005-05-24
1457972853 Robert W Pasquini Jr. Physician Assistant 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2020-04-27
1396215059 Rebeca Ji Hae Kim Stanley Physician Assistant 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2018-11-26
1710423884 Isuri Weerasinghe Physician Assistant 815 Pennsylvania Ave, Fort Worth, TX 76104 2017-01-13
1255759437 Ali Alian Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2014-04-03
1396166039 Health Imaging Partners, LLC Physiological Laboratory 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2013-12-24
1427482280 Magda Rizer I Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104 2013-08-29
1033556311 Vivek Gowdra Halappa Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2013-05-28
1194169847 Justin Manuel Ramirez Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2013-04-24
1508209495 Ethan Boothe Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2013-04-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085U0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Ultrasound

Taxonomy Definition

A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316006513 Radiology Assoicates of Tarrant County Pa Radiology 3400 Camp Bowie Blvd, Suite 100, Fort Worth, TX 76107-2729 2006-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952902439 In The Image Radiology 2984 Bertha St, Brownsville, TX 78521-3824 2020-11-03
1528674843 Chelsea Lewis Radiology 1014 Fm 226, Nacogdoches, TX 75961-6632 2020-09-22
1003420779 Millennium Radiology Inc Radiology 9123 Osage Vly, San Antonio, TX 78251-1739 2020-09-01
1043823537 Richer Fu Radiology 7234 S Dairy Ashford Rd, Houston, TX 77072-2110 2020-08-25
1477174993 Arvin Penacerrada Radiology 111 Vision Park Blvd Ste 250, Shenandoah, TX 77384-3004 2020-05-06
1871113837 Carolyn Hong Nguyen Radiology 18220 Tx 249, Houston, TX 77070 2020-04-20
1750914057 Samuel Oltunji Apata Radiology 19618 Heritage Elm Ct, Houston, TX 77084-4390 2020-02-15
1922669035 Westchase Diagnostic Imaging Center LLC Radiology 13450 Richmond Ave Ste 300, Houston, TX 77082-6895 2019-06-28
1558825869 Ellen Catherine Leone Radiology 7400 Louis Pasteur Dr Ste 106, San Antonio, TX 78229-4510 2019-01-31
1598269276 Veronica Hernandez Radiology 13831 Northwest Fwy Ste 110, Houston, TX 77040-5232 2018-03-19
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Competitor

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City FORT WORTH
Zip Code 76104

Improve Information

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Dataset Information

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.

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