ISURI WEERASINGHE


Address: 815 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 8173210404

ISURI WEERASINGHE (NPI# 1710423884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710423884
Entity Type Individual
Full Name ISURI WEERASINGHE
Credential MPAS, MPH, PA-C
Practice Address 815 Pennsylvania Ave
Fort Worth
TX 76104
Mailing Address 816 W Cannon St
Fort Worth
TX 76104-3146
Practice Telephone 8173210404
Mailing Telephone 8173210404
Enumeration Date 2017-01-13
Last Update Date 2018-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA11084 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 815 PENNSYLVANIA AVE
City FORT WORTH
State TX
Zip Code 76104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627994 David A Fenyes Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2005-05-24
1457972853 Robert W Pasquini Jr. Physician Assistant 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2020-04-27
1396215059 Rebeca Ji Hae Kim Stanley Physician Assistant 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2018-11-26
1255759437 Ali Alian Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2014-04-03
1396166039 Health Imaging Partners, LLC Physiological Laboratory 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2013-12-24
1427482280 Magda Rizer I Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104 2013-08-29
1033556311 Vivek Gowdra Halappa Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2013-05-28
1194169847 Justin Manuel Ramirez Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2013-04-24
1508209495 Ethan Boothe Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2013-04-10
1033552005 Shoeb Rafiq Chaudry Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2013-04-09
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811596927 Emily Lau Physician Assistant 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 2020-10-20
1629681952 Anum Bashwani Physician Assistant 5601 Bridge St Ste 450, Fort Worth, TX 76112-2305 2020-08-26
1780200881 Emily Brown Holloway Physician Assistant 1904 Turner Ridge Dr Apt 5202, Fort Worth, TX 76110-2499 2020-06-24
1679196570 Maria Cristela Mosso Physician Assistant 4521 S Hulen St Ste 118, Fort Worth, TX 76109-4954 2020-05-26
1679195978 Jacob Torre Physician Assistant 1701 River Run Ste 1118, Fort Worth, TX 76107-6557 2020-05-11
1871122382 Kenaud Jeune Physician Assistant 5817 Fairglen Ave Apt 312, Fort Worth, TX 76137-6810 2020-04-06
1922635648 Lauren Elizabeth Studey Physician Assistant 3470 Sagecrest Ter, Fort Worth, TX 76109-2555 2020-03-24
1033743612 James Bregg Reedy Physician Assistant 200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657 2020-02-24
1992335194 Alexandria Christine Rios Physician Assistant 5904 Rockhill Rd, Fort Worth, TX 76112-3047 2020-01-16
1982253605 Kelly Ann Klein Physician Assistant 6708 River Bend Rd, Fort Worth, TX 76132-1108 2019-09-05
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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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