FORT WORTH PERSONAL MEDICINE, PLLC (NPI# 1609220367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609220367 |
| Entity Type | Organization |
| Organization Name | FORT WORTH PERSONAL MEDICINE, PLLC |
| Practice Address |
4545 Bellaire Dr S Suite 2 Fort Worth TX 76109-1889 |
| Mailing Address |
Po Box 181055 Arlington TX 76096-1055 |
| Practice Telephone | 6822024585 |
| Mailing Telephone | 6822024585 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | DR. STEPHEN DANIEL AKE (CEO/PROVIDER) |
| Authorized Official Telephone | 6822024585 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
P9785 | TX | Ambulatory Health Care Facilities |
| Street Address |
4545 BELLAIRE DR S SUITE 2 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740243708 | Robert Matthew Sorokolit | Dentist | 4545 Bellaire Dr S, Suite 1, Fort Worth, TX 76109-1889 | 2006-04-10 |
| 1083082754 | Hannah Bing | Counselor | 4545 Bellaire Dr S, Suite 6, Fort Worth, TX 76109-1889 | 2015-09-10 |
| 1013384775 | Lesley Schmitz D.o. and Associates | Neuromusculoskeletal Medicine & OMM | 4545 Bellaire Dr S, Suite 200, Fort Worth, TX 76109-1889 | 2015-08-28 |
| 1659657948 | Stephen D Ake | Family Medicine | 4545 Bellaire Dr S, Suite 2, Fort Worth, TX 76109-1889 | 2011-10-31 |
| 1720223100 | Charles B Kendall IIi | Dentist | 4545 Bellaire Dr S, Suite 5, Fort Worth, TX 76109-1889 | 2008-12-12 |
| 1689718975 | Fort Worth Med-peds Associates P.a. | Clinic/Center | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1889 | 2007-02-19 |
| 1235148354 | Ramona M Torgerson | Dentist | 4545 Bellaire Dr S, Ste. #8, Fort Worth, TX 76109-1889 | 2006-08-07 |
| 1295776391 | Mark Andrew Lindemann | Internal Medicine | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1889 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942845987 | Pursuit of Healthyness, Pllc | Clinic/Center | 7601 Xavier Dr, Fort Worth, TX 76133-7638 | 2019-11-13 |
| 1205487964 | Careatc | Clinic/Center | 6618 Fossil Bluff Dr Ste 132, Fort Worth, TX 76137-7537 | 2019-09-24 |
| 1558655274 | Fort Worth Lung Clinic, Pa | Clinic/Center | 8036 Ocean Dr, Fort Worth, TX 76123-1895 | 2011-05-31 |
| 1275715518 | Michael E Truman Do Pa | Clinic/Center | 2401 Canton Dr, Fort Worth, TX 76112-5001 | 2007-11-28 |
| 1619003886 | Legend Internal Medicine, Urgent Care & Diagnostic | Clinic/Center | 609 Hemphill St, Suite 101, Fort Worth, TX 76104-4137 | 2007-02-24 |
| 1487757969 | V A Hospital | Clinic/Center | Fwopc/ Va Medical Center, 300 W. Rosedale, Fort Worth, TX 76104 | 2006-09-07 |
| 1326661703 | Dpc Health Pllc | Clinic/Center | 4561 Heritage Trace Pkwy Ste 109, Fort Worth, TX 76244-8907 | 2020-05-20 |
| 1730658386 | Better Family Care of Fort Worth, LLC | Clinic/Center | 5801 Oakbend Trl Ste 250, Fort Worth, TX 76132-3914 | 2018-11-13 |
| 1447774344 | Be Well Primary Care Medicine Pllc | Clinic/Center | 3800 North Tarrant Parkway, Suite 210, Fort Worth, TX 76244 | 2017-08-01 |
| 1508308768 | Satya P. Kaushik,m.d.,p.a | Clinic/Center | 617 Travis Ave, Fort Worth, TX 76104-3153 | 2016-11-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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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.