DANIEL WARREN BASSUK (NPI# 1508494022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508494022 |
| Entity Type | Individual |
| Full Name | DANIEL WARREN BASSUK |
| Credential | MD |
| Practice Address |
900 8th Ave Ft Worth TX 76104-3902 |
| Practice Telephone | 8173362100 |
| Mailing Telephone | 8173362100 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
900 8TH AVE |
| City | FT WORTH |
| State | TX |
| Zip Code | 76104-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649624347 | Timothy James Dobin | Internal Medicine | 900 8th Ave, Ft Worth, TX 76104-3902 | 2016-04-19 |
| 1063852846 | Poonam Puri | Internal Medicine | 900 8th Ave, Ft Worth, TX 76104-3902 | 2013-06-26 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1306466875 | Scott Brockwell Mathis | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2020-04-24 |
| 1407418924 | Amanda Rae Arreola | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-07-04 |
| 1053872572 | Samuel Crist | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-03-27 |
| 1104386564 | Jane Elizabeth Gilmore | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-03-21 |
| 1306338801 | Joel Ortlip | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4941 | 2018-05-31 |
| 1518461946 | Dwain Paul Strickland | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2018-03-20 |
| 1063875847 | Malaika Rose Adams | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2016-03-30 |
| 1245557347 | Alice Wuu | Student in an Organized Health Care Education/Training Program | 6600 Bryant Irvin Rd, Ft Worth, TX 76132-4217 | 2010-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688930 | Kourtney Tapnio | Student in an Organized Health Care Education/Training Program | 8215 Summer Breeze Ln, Rosenberg, TX 77469-1846 | 2020-10-27 |
| 1932708666 | Candice Carriere | Student in an Organized Health Care Education/Training Program | 211 Terrace Creek Ct, Richmond, TX 77406-3590 | 2020-10-23 |
| 1922607373 | Benjamin Allen Barrett | Student in an Organized Health Care Education/Training Program | 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 | 2020-10-17 |
| 1538766597 | Billy Derek Huddleston | Student in an Organized Health Care Education/Training Program | 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 | 2020-10-02 |
| 1669089157 | Jacob Dainel Frost | Student in an Organized Health Care Education/Training Program | 1207 N Saint James Rd, Pilot Point, TX 76258-2715 | 2020-09-28 |
| 1821605569 | Madison Bettis | Student in an Organized Health Care Education/Training Program | 16609 Green Maze Ln, Helotes, TX 78023-3441 | 2020-09-27 |
| 1659987899 | Chinwe Nwakaego Dike | Student in an Organized Health Care Education/Training Program | 8023 Bueller Pass Ln, Richmond, TX 77407-1824 | 2020-09-22 |
| 1760098271 | Danielle Mortimer | Student in an Organized Health Care Education/Training Program | 1340 Prudential Dr Ste A, Dallas, TX 75235-4115 | 2020-09-20 |
| 1467067462 | Sami Al-aya | Student in an Organized Health Care Education/Training Program | 7114 Lyons Rd, Garland, TX 75043-6633 | 2020-09-15 |
| 1912512005 | Courtney Yates | Student in an Organized Health Care Education/Training Program | 2920 Northlake Cv, Tyler, TX 75703-7033 | 2020-09-15 |
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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.