DR. MATT DOUGLAS FAY (NPI# 1467613067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467613067 |
| Entity Type | Individual |
| Full Name | DR. MATT DOUGLAS FAY |
| Credential | M.D. |
| Practice Address |
4375 Booth Calloway Rd #400 North North Richland Hills TX 76180-8359 |
| Mailing Address |
16980 Dallas Pkwy Suite 200 Dallas TX 75248-1908 |
| Practice Telephone | 8172843915 |
| Practice Fax Number | 8175902593 |
| Mailing Telephone | 9723911915 |
| Mailing Fax Number | 9723912061 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2016-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD.204666 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Q4579 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841671294 | Matt Fay | Physical Therapy Assistant | 118 Medical Dr, Carmel, IN 46032-2923 | 2015-06-11 |
| Street Address |
4375 BOOTH CALLOWAY RD #400 NORTH |
| City | NORTH RICHLAND HILLS |
| State | TX |
| Zip Code | 76180-8359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424610 | Connie Jeanette Hatfield | Nurse Practitioner | 4375 Booth Calloway Rd, Suite 400, North Richland Hills, TX 76180-8359 | 2005-08-15 |
| 1467824433 | Brandi Renee Trujillo | Nurse Practitioner | 4375 Booth Calloway Rd, Ste. 402, North Richland Hills, TX 76180-8359 | 2015-10-29 |
| 1902172034 | North Hills Orthopaedic Surgeons, Pllc | Orthopaedic Surgery | 4375 Booth Calloway Rd, Suite 410, North Richland Hills, TX 76180-8359 | 2012-03-22 |
| 1336425073 | Thomas E Hansen Md Pllc | Orthopaedic Surgery | 4375 Booth Calloway Rd, Suite 410, North Richland Hills, TX 76180-8359 | 2011-10-26 |
| 1043532187 | Rhodesia N Lastrap Do Pa | Obstetrics & Gynecology | 4375 Booth Calloway Rd, Suite 506, North Richland Hills, TX 76180-8359 | 2010-02-16 |
| 1922338573 | Thomas M. Carrell, Md, Pa | Orthopaedic Surgery | 4375 Booth Calloway Rd, North Richland Hills, TX 76180-8365 | 2010-01-04 |
| 1053593608 | Martha P. Wills, M.d., F.a.c.s., Pa | Surgery | 4375 Booth Calloway Rd, 507, North Richland Hills, TX 76180-8359 | 2007-12-05 |
| 1932306651 | Brijesh Manubhai Patel | Internal Medicine | 4375 Booth Calloway Rd, Suite 400, North Richland Hills, TX 76180-8359 | 2007-06-27 |
| 1548464225 | North Texas Minimally Invasive Surgical Associates, Pa | Surgery | 4375 Booth Calloway Rd, Suite 404, North Richland Hills, TX 76180-8359 | 2007-06-14 |
| 1972665289 | Madhuri Kamatham | Internal Medicine | 4375 Booth Calloway Rd, Suite 402, North Richland Hills, TX 76180-8359 | 2006-12-14 |
| Find all providers in the same location | ||||
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457586844 | Anas Alomar | Internal Medicine | 4375 Booth Calloway Rd Ste 400, North Richland Hills, TX 76180-8365 | 2009-05-28 |
| 1659368728 | Sanjayanth R Chamakura | Internal Medicine | 8479 Davis Blvd Ste 100, North Richland Hills, TX 76182 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
| City | NORTH RICHLAND HILLS |
| 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.