UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH (NPI# 1659473056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659473056 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Practice Address |
1307 8th Ave Ste 403 Fort Worth TX 76104-4143 |
| Mailing Address |
Po Box 99335 Fort Worth TX 76199-0335 |
| Practice Telephone | 6822071375 |
| Practice Fax Number | 6822071377 |
| Mailing Telephone | 8177352000 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | LESLIE HENDERSON (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 8177352008 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138980118 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 855 Montgomery St, Dept of Ob/gyn, Fort Worth, TX 76107 | 8177352000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355499 | University of North Texas Health Science Center At Fort Worth | Neuromusculoskeletal Medicine & OMM | 1800 W Chestnut St, Denton, TX 76201 | 2019-09-17 |
| 1003133083 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 855 Montgomery St, Fort Worth, TX 76107 | 2010-04-29 |
| 1538383328 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 855 Montgomery St, Fort Worth, TX 76107 | 2007-04-12 |
| 1659595445 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 855 Montgomery St, Fort Worth, TX 76107 | 2007-04-12 |
| 1316060882 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 1305 E Seminary Dr, Fort Worth, TX 76115 | 2007-04-09 |
| 1891818381 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 855 Montgomery St, Fort Worth, TX 76107 | 2007-04-09 |
| 1578686127 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 3500 Camp Bowie Blvd, Fort Worth, TX 76107 | 2007-04-09 |
| 1144328634 | University of North Texas Health Science Center At Fort Worth | Psychologist | 855 Montgomery St, Fort Worth, TX 76107 | 2006-09-20 |
| 1417054024 | University of North Texas Health Science Center At Fort Worth | Allergy & Immunology | 855 Montgomery St, Fort Worth, TX 76107 | 2006-09-19 |
| 1053416289 | University of North Texas Health Science Center At Fort Worth | Physician Assistant | 855 Montgomery St, Fort Worth, TX 76107 | 2006-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2553 |
| Street Address |
1307 8TH AVE STE 403 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508201971 | Alison Pasciucco | Obstetrics & Gynecology | 1307 8th Ave Ste 403, Fort Worth, TX 76104-4143 | 2013-04-30 |
| 1891053245 | Melanie H Lagomichos | Obstetrics & Gynecology | 1307 8th Ave Ste 403, Fort Worth, TX 76104-4143 | 2012-04-23 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481637 | Jonathan C. Snead, Md, Pa Dba: Alliance Women's Healthcare | Obstetrics & Gynecology | 10932 N Riverside Dr Ste 100, Fort Worth, TX 76244-7137 | 2017-11-29 |
| 1356888788 | Karen Benz, Md Pa | Obstetrics & Gynecology | 1250 8th Ave Ste 270, Fort Worth, TX 76104-4139 | 2017-01-24 |
| 1164895355 | Steven R. Edmondson Md, Pa | Obstetrics & Gynecology | 3025 N Tarrant Pkwy Ste 240, Fort Worth, TX 76177-8620 | 2015-11-10 |
| 1437542982 | Charles David Braungardt | Obstetrics & Gynecology | 7221 Meadowbrook Dr, Fort Worth, TX 76112-5327 | 2015-03-09 |
| 1962840678 | Madeline Manning | Obstetrics & Gynecology | 6100 Harris Pkwy Ste 235, Fort Worth, TX 76132-4126 | 2013-06-05 |
| 1720378375 | Melissa A Weidert | Obstetrics & Gynecology | 1000 Bonnie Brae Ave, Fort Worth, TX 76111-4301 | 2011-04-17 |
| 1396061826 | Deana Jamal Hussamy | Obstetrics & Gynecology | 1325 Pennsylvania Ave Ste 600, Fort Worth, TX 76104-2133 | 2010-04-08 |
| 1790001360 | Christopher Mark Ripperda | Obstetrics & Gynecology | 1250 8th Ave Ste 330, Fort Worth, TX 76104-4148 | 2010-04-07 |
| 1063744142 | Linda M Bernstein | Obstetrics & Gynecology | 7229 Hawkins View Dr, Fort Worth, TX 76132-3921 | 2010-02-01 |
| 1104157106 | Remedios R. Cabansag, Md, Pa | Obstetrics & Gynecology | 11803 So. Freeway, Suite 254, Fort Worth, TX 76115-0337 | 2010-01-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH.
| 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.