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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 121715001 | 05 | |
TX | 121715002 | 05 |
Other Name | Type Code |
---|---|
Pennsylvania Avenue Imaging Center | Other Name - Individual/Organization |
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 |
Street Address |
815 PENNSYLVANIA AVE |
City | FORT WORTH |
State | TX |
Zip Code | 76104-2224 |
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 |
Find all providers in the same location |
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 | 2085U0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Ultrasound |
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.] |
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 |
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 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76104 |
Please comment or provide details below to improve the information on RADIOLOGY ASSOCIATES OF NORTH TEXAS PA.
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.