DR. KENNETH M. YAKER (NPI# 1427161173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427161173 |
| Entity Type | Individual |
| Full Name | DR. KENNETH M. YAKER |
| Credential | M.D. |
| Practice Address |
3019 S. Freeway Fort Worth TX 76104 |
| Mailing Address |
Po Box 445 Venice CA 90294-0445 |
| Practice Telephone | 3238688099 |
| Practice Fax Number | 8155501658 |
| Mailing Telephone | 3104086357 |
| Mailing Fax Number | 2133652924 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2013-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | P3488 | TX | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | G75747 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3019 S. FREEWAY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147912 | Earnest A Porter | General Practice | 6324 Glenwick Dr, Fort Worth, TX 76123-1565 | 2020-06-07 |
| 1386200889 | Wholelife Authentic Care Provider Network | General Practice | 1000 Bonnie Brae Ave Ste 120, Fort Worth, TX 76111-4301 | 2019-05-10 |
| 1336681170 | Dynamic Rpa Healthcare Pa | General Practice | 3750 S University Dr Ste 275, Fort Worth, TX 76109-3795 | 2016-11-10 |
| 1588906218 | Susan Moses Shropshire | General Practice | 4812 Camp Bowie Blvd, Suite B, Fort Worth, TX 76107-4121 | 2013-03-20 |
| 1376817932 | Gordon Patterson Sharratt | General Practice | 3605 Roberts Cut Off Rd, Fort Worth, TX 76114-1039 | 2012-02-29 |
| 1063785665 | Linda Atlas Reese | General Practice | 1001 N Rhea Dr, Fort Worth, TX 76108-3565 | 2012-02-14 |
| 1962711036 | Larry Edwin Bradley | General Practice | 7016 Riverport Rd, Fort Worth, TX 76116-9311 | 2010-10-06 |
| 1922210996 | Paul Lyndon Patrick | General Practice | 14805 Trinity Blvd, Fort Worth, TX 76155-2609 | 2007-05-04 |
| 1477607240 | H Pena Md North Main Medical and Surgical Clinic Assoc | General Practice | 3301 North Main Street, Fort Worth, TX 76106 | 2007-01-22 |
| 1518030071 | Barbara Anne Fannin | General Practice | 4101 Marys Creek Dr, Fort Worth, TX 76116 | 2006-11-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on DR. KENNETH M. YAKER.
| 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.