ABBOTT CLINIC, PA (NPI# 1437334042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437334042 |
| Entity Type | Organization |
| Organization Name | ABBOTT CLINIC, PA |
| Practice Address |
3700 Rufe Snow Dr Fort Worth TX 76180-8848 |
| Practice Telephone | 8175902395 |
| Practice Fax Number | 8175951445 |
| Mailing Telephone | 8175902395 |
| Mailing Fax Number | 8175951445 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2013-11-14 |
| Authorized Official Name | DR. PHILIP DON ABBOTT (PRESIDENT) |
| Authorized Official Telephone | 8175902395 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
C8872 | TX | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
C8872 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3700 RUFE SNOW DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76180-8848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912184532 | Shellie Jean Peaton | Specialist/Technologist, Other | 3700 Rufe Snow Dr, Fort Worth, TX 76180-8848 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057602 | Heather Penka | Preventive Medicine | 820 Holiday Ln, North Richland Hills, TX 76180 | 2019-11-07 |
| 1093273781 | Southwest Vascular P.C. | Surgery | 4375 Booth Callaway Suite 501, Fort Worth, TX 76180 | 2019-03-12 |
| 1871063644 | Christina Luu | Physician Assistant | 4300 City Point Dr Ste 102, North Richland Hills, TX 76180 | 2018-12-04 |
| 1578042917 | Marcos H Guerra | Licensed Vocational Nurse | 4525 City Point Drive, North Richland Hills, TX 76180 | 2018-08-07 |
| 1760975247 | Alliancestar One LLC | Durable Medical Equipment & Medical Supplies | 6719 Mid-cities Blvd, North Richland Hills, TX 76180 | 2018-06-11 |
| 1710486196 | Kayan K Reno | Home Health | 5608 Davis Blvd, North Richland Hills, TX 76180 | 2018-02-12 |
| 1184133209 | Sonja Jackson | Counselor | 2214 Michigan Ave Suite F, Arlington, TX 76180 | 2017-09-20 |
| 1821512880 | Robin Wray Manley | Registered Nurse | 5117 Maryanna Way, North Richland Hills, TX 76180 | 2017-08-01 |
| 1487195442 | D3 Medical | Durable Medical Equipment & Medical Supplies | 5424 Rufe Snow #502, North Richland Hills, TX 76180 | 2017-03-10 |
| 1629510474 | Helping Hands Ministry of Richland Hills | Public Health or Welfare | 7294 Gleview Drive, Richland Hills, TX 76180 | 2016-11-10 |
| Find all providers in zip 76180 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306161112 | Casey Lynn Kinman | Obstetrics & Gynecology | 2001 N Macarthur Blvd Ste 425, Irving, TX 75061-2299 | 2010-04-05 |
| 1497999197 | Rebecca James | Obstetrics & Gynecology | 400 Rosalind Redfern Grover Pkwy Ste 230, Midland, TX 79701-5856 | 2009-04-24 |
| 1609842178 | Nina H Dereska | Obstetrics & Gynecology | 17510 W. Grand Parkway S., Suite #500, Houston, TX 77479 | 2006-02-24 |
| 1629685557 | Highland Gynecology Pllc | Obstetrics & Gynecology | 1680 Antilley Rd Ste 350, Abilene, TX 79606-5266 | 2020-09-24 |
| 1245889617 | Rebecca James Md Pllc | Obstetrics & Gynecology | 400 Rosalind Redfern Grover Pkwy Ste 230, Midland, TX 79701-5856 | 2019-09-09 |
| 1811365802 | South Texas Urogynecology Pllc | Obstetrics & Gynecology | 540 Madison Oak Dr, Suite 570, San Antonio, TX 78258-3943 | 2015-09-08 |
| 1609268960 | The Center for Womens Sexual Health, Inc | Obstetrics & Gynecology | 1315 St Joseph Pkwy, Suite 1306, Houston, TX 77002-8233 | 2015-02-24 |
| 1518364223 | Women's Pelvic Restorative Center, Pllc | Obstetrics & Gynecology | 7900 Fannin St, Suite 4000, Houston, TX 77054-2934 | 2014-11-24 |
| 1245677582 | Rachel Alice High | Obstetrics & Gynecology | 911 W 38th St Ste 202, Austin, TX 78705-1107 | 2013-05-28 |
| 1366527392 | Gokhan Kilic | Obstetrics & Gynecology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76180 |
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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.