BALCH INTERVENTIONAL PAIN AND WELLNESS CENTER PLLC (NPI# 1639410954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639410954 |
| Entity Type | Organization |
| Organization Name | BALCH INTERVENTIONAL PAIN AND WELLNESS CENTER PLLC |
| Practice Address |
4319 Camp Bowie Blvd Fort Worth TX 76107-3893 |
| Practice Telephone | 8179846210 |
| Practice Fax Number | 8179846216 |
| Mailing Telephone | 8179846210 |
| Mailing Fax Number | 8179846216 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | DR. ROBERT JUDSON BALCH III (PHYSICIAN) |
| Authorized Official Telephone | 8179846210 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
4319 CAMP BOWIE BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477751774 | Robert Judson Balch IIi | Physical Medicine & Rehabilitation | 4319 Camp Bowie Blvd, Fort Worth, TX 76107 | 2007-07-07 |
| 1245861707 | Abigail Adel Burns | Nurse Practitioner | 4319 Camp Bowie Blvd, Fort Worth, TX 76107-3893 | 2020-02-03 |
| 1255587010 | Cayli Nguyen Balch | Physical Medicine & Rehabilitation | 4319 Camp Bowie Blvd, Fort Worth, TX 76107 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689185803 | Freeform Wellness Pllc | Physical Medicine & Rehabilitation | 4525 Heritage Trace Pkwy Ste 101, Fort Worth, TX 76244-8908 | 2017-10-15 |
| 1871760421 | R G Medical Pllc | Physical Medicine & Rehabilitation | 5001 Brentwood Stair Rd, Suite 107, Fort Worth, TX 76112-2801 | 2008-05-13 |
| 1477751774 | Robert Judson Balch IIi | Physical Medicine & Rehabilitation | 4319 Camp Bowie Blvd, Fort Worth, TX 76107 | 2007-07-07 |
| 1417166240 | Lan Thanh Le | Physical Medicine & Rehabilitation | 800 8th Ave Ste 506, Fort Worth, TX 76104-2604 | 2007-05-21 |
| 1255450797 | Mary R Hannaman | Physical Medicine & Rehabilitation | 5012 Trinity Landing Dr W, Fort Worth, TX 76132-3736 | 2007-03-28 |
| 1386695906 | Cesar P Duclair | Physical Medicine & Rehabilitation | 2601 Scott Ave Ste 102, Fort Worth, TX 76103-2301 | 2006-05-16 |
| 1194776872 | Metroplex Medical Rehabilitation & Sports Medicine Pa | Physical Medicine & Rehabilitation | 6116 Oakbend Trl, Suite 112, Fort Worth, TX 76132-3925 | 2006-05-15 |
| 1922061571 | William C Bridges Md & Associates | Physical Medicine & Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | 2006-04-06 |
| 1912968207 | Kenneth James Buley Md | Physical Medicine & Rehabilitation | 6551 Harris Parkway, Suite 110, Fort Worth, TX 76132-6105 | 2006-03-28 |
| 1962471607 | Omar F Selod | Physical Medicine & Rehabilitation | 5632 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109 | 2006-03-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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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.