TIMOTHY R NIACARIS (NPI# 1700033743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700033743 |
| Entity Type | Individual |
| Full Name | TIMOTHY R NIACARIS |
| Credential | MD, PHD |
| Practice Address |
855 Montgomery St Fort Worth TX 76107-2553 |
| Mailing Address |
7715 San Jacinto Pl Ste 200 Plano TX 75024-3215 |
| Practice Telephone | 8177352900 |
| Practice Fax Number | 8177352902 |
| Mailing Telephone | 4692098099 |
| Mailing Fax Number | 9726184444 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
N9755 | TX | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
A95129 | CA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
D0070392 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 285356601 | 05 | |
| TX | RAILROAD MEDICARE | P00998012 | 01 |
| TX | BCBS | 8CW354 | 01 |
| Street Address |
855 MONTGOMERY ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194455 | Patricia Lowrimore | Psychiatry & Neurology | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2005-06-20 |
| 1194353417 | Jason L Thompson | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-03-31 |
| 1639701808 | Tyrane Roberts-lagrone | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-02-06 |
| 1144860917 | Melissa Edwards Petersen | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-01-09 |
| 1629553813 | Lisa Jane Killam-worrall | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-10-03 |
| 1598250607 | Sima Taj Mozdbar | Optometrist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-06-30 |
| 1588153993 | Kristen Reuter | Social Worker | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-05-02 |
| 1114431624 | Emily J. Clark | Counselor | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-11-20 |
| 1275073215 | Elizabeth Svyatoslavna Balyakina | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-23 |
| 1588103659 | Frederick Olen Barnum Iv | Family Medicine | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-21 |
| Find all providers in the same location | ||||
| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508807363 | B J Wroten, M.d., P.a. | Orthopaedic Surgery | 801 W Terrell Ave, Fort Worth, TX 76104-3100 | 2006-06-10 |
| 1215348446 | Hannah Kim | Orthopaedic Surgery | 1500 S Main St, Fort Worth, TX 76104-4917 | 2014-05-09 |
| 1750791513 | Christopher Bates | Orthopaedic Surgery | 5612 Edwards Ranch Rd, Fort Worth, TX 76109-4145 | 2014-05-02 |
| 1275899734 | William F Pientka II | Orthopaedic Surgery | 800 5th Ave, Fort Worth, TX 76104-7300 | 2012-04-09 |
| 1851629505 | Texas Health Care, P.l.l.c. | Orthopaedic Surgery | 801 W. Terrell Ave., Fort Worth, TX 76104-3100 | 2009-11-18 |
| 1386701134 | Texas Health Care, P.l.l.c. | Orthopaedic Surgery | 7201 Hawkins View Dr Ste 151, Fort Worth, TX 76132-3934 | 2007-01-02 |
| 1710929260 | Fort Worth Hand Center | Orthopaedic Surgery | 801 W Terrell Ave, Fort Worth, TX 76104-3100 | 2006-06-11 |
| 1558361915 | William J Van Wyk | Orthopaedic Surgery | 803 W Terrell Ave, Fort Worth, TX 76104-3155 | 2005-07-28 |
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|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1770939696 | Coastal Bend Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 49 W Bar Le Doc Dr, Corpus Christi, TX 78414-6250 | 2016-05-10 |
| 1619343159 | Tmh Physician Organization | Orthopaedic Surgery | 6624 Fannin, Suite 2600, Houston, TX 77030-2338 | 2015-08-19 |
| 1720454291 | Tmh Physician Organization | Orthopaedic Surgery | 17198 St Lukes Way Ste 600, The Woodlands, TX 77384-8017 | 2015-08-19 |
| 1174999619 | Tmh Physician Organization | Orthopaedic Surgery | 10905 Memorial Hermann Dr Ste 120, Pearland, TX 77584-3490 | 2015-08-19 |
| 1093181562 | Tmh Physician Organization | Orthopaedic Surgery | 915 Gessner Rd., Pro 3, Suite 560, Houston, TX 77024-2572 | 2015-08-19 |
| 1336488501 | Liberty Surgical Associates Pllc | Orthopaedic Surgery | 306 E. Randol Mill Rd., Suite136, Arlington, TX 76011 | 2013-02-08 |
| 1760740930 | Jessica Wingfield | Orthopaedic Surgery | 12230 Coit Rd Ste 100, Dallas, TX 75251-2323 | 2012-04-25 |
| 1841596772 | Charity Mamaa Ogunro | Orthopaedic Surgery | 3670 W Wheatland Rd, Dallas, TX 75237-3462 | 2011-02-10 |
| 1598068835 | Michael Vernon Doyle Md | Orthopaedic Surgery | 8220 Walnut Hill Ln Ste 606, Dallas, TX 75231-4424 | 2010-12-08 |
| Find all providers with the same taxonomy | ||||
| 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.