JERRY BANE (NPI# 1518179423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518179423 |
| Entity Type | Individual |
| Full Name | JERRY BANE |
| Credential | M.D. |
| Practice Address |
14805 Trinity Blvd Fort Worth TX 76155-2609 |
| Mailing Address |
4101 Shady Valley Dr Arlington TX 76013-2934 |
| Practice Telephone | 8173181700 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | D4922 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
14805 TRINITY BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76155-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922210996 | Paul Lyndon Patrick | General Practice | 14805 Trinity Blvd, Fort Worth, TX 76155-2609 | 2007-05-04 |
| 1659561660 | John G Steele | Orthopaedic Surgery | 14805 Trinity Blvd, Fort Worth, TX 76155-2609 | 2007-07-26 |
| 1730391707 | Prafull Bole | Surgery | 14805 Trinity Blvd, Fort Worth, TX 76155-2609 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053757815 | Varsha Patel | Pharmacist | 15001 Trinity Boulevard, Fort Worth, TX 76155 | 2013-05-20 |
| 1922194588 | Rebecca Lyn Snell | Physical Therapist | 4255 Amon Carter Blvd., Fort Worth, TX 76155 | 2006-10-04 |
| 1932110525 | Medpro Pharmacy LLC | Pharmacy | 4200 Buckingham Road, Suite 105b, Fort Worth, TX 76155 | 2006-08-10 |
| 1669961819 | Shannon Lea Robertson | Licensed Vocational Nurse | 4251 Golding Ave Apt 5207, Fort Worth, TX 76155-2141 | 2018-05-03 |
| 1659972230 | Covetrus Pharmacy Services, LLC | Pharmacy | 14800 Faa Blvd Ste 150, Fort Worth, TX 76155-2252 | 2020-11-02 |
| 1568491553 | Omnicare Pharmacy of Texas No 1 Lp | Pharmacy | 14450 Trinity Blvd, Suite 200, Ft Worth, TX 76155-2549 | 2006-07-02 |
| 1710596200 | Mary Goertz | Physical Therapist | 4120 Highway 360 Ste 105, Fort Worth, TX 76155-2562 | 2020-07-30 |
| 1104131507 | Merlie Tameika Anderson | Speech-Language Pathologist | 4300 Dulles Dr, 13307, Fort Worth, TX 76155-2575 | 2010-08-10 |
| 1619448248 | Nulife Pharmacy, Inc | Pharmacy | 14150 Trinity Blvd Ste 750, Fort Worth, TX 76155-2597 | 2018-12-07 |
| 1225233422 | Thomas Neal Bettes | Family Medicine | 4255 Amon Carter Blvd, American Airlines Medical Dept., Fort Worth, TX 76155-2603 | 2007-06-18 |
| Find all providers in zip 76155 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093273781 | Southwest Vascular P.C. | Surgery | 4375 Booth Callaway Suite 501, Fort Worth, TX 76180 | 2019-03-12 |
| 1689102022 | Kanayochukwu J. Anya Md Facs, Pllc | Surgery | 6100 Harris Pkwy Ste 380, Fort Worth, TX 76132-4128 | 2017-05-30 |
| 1093114530 | Patel Surgical Pllc | Surgery | 909 9th Ave Ste 208, Fort Worth, TX 76104-3931 | 2014-08-21 |
| 1689918948 | Texas Health Care, P.l.l.c. | Surgery | 6100 Harris Pkwy Ste 270, Fort Worth, TX 76132-4132 | 2012-11-26 |
| 1639447832 | Henry V Birdwell Jr. | Surgery | 4204 Lakewood Dr, Fort Worth, TX 76135-2704 | 2011-12-02 |
| 1669628780 | Fort Worth Clinic Specialty Care, Pllc | Surgery | 212 Cattlebaron Park Dr, Fort Worth, TX 76108-9512 | 2008-08-08 |
| 1265694731 | Balaguru Kolandavelo Sambandam | Surgery | 3025 N Tarrant Pkwy Ste 100, Fort Worth, TX 76177-8625 | 2008-06-26 |
| 1427252378 | Arsalla Islam | Surgery | 4312 Heritage Trace Pkwy, Ste 704, Fort Worth, TX 76244-9132 | 2007-06-13 |
| 1750590485 | John Landis Birbari Jr. | Surgery | 1325 Pennsylvania Avenue, Suite 720, Fort Worth, TX 76104-2144 | 2007-05-21 |
| 1427267145 | Paul Edward Gray Jr. | Surgery | 1325 Pennsylvania Ave., Suite 720, Fort Worth, TX 76104-2144 | 2007-05-21 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76155 |
Please comment or provide details below to improve the information on JERRY BANE.
| 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.