MELISSA A WEIDERT (NPI# 1720378375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720378375 |
| Entity Type | Individual |
| Full Name | MELISSA A WEIDERT |
| Other Name | MELISSA A TAAVOLA |
| Credential | M.D. |
| Practice Address |
1000 Bonnie Brae Ave Fort Worth TX 76111-4301 |
| Practice Telephone | 8178385433 |
| Practice Fax Number | 8555526041 |
| Mailing Telephone | 8178385433 |
| Mailing Fax Number | 8555526041 |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | S3476 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1000 BONNIE BRAE AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76111-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306330543 | True Rx LLC | Pharmacy | 4045 E Belknap St Ste 10, Haltom City, TX 76111 | 2018-06-20 |
| 1538656988 | Dc Dental Associates of Fort Worth Pllc | Dentist | 1114 North Beach Street, Fort Worth, TX 76111 | 2018-04-20 |
| 1417403262 | Shauna Woody | Specialist/Technologist | 1101 Yucca Ave, Fort Worth, TX 76111 | 2016-08-31 |
| 1285180018 | Eve Investments LLC | Non-emergency Medical Transport (VAN) | 3513 E Belknap St, Fort Worth, TX 76111 | 2016-08-31 |
| 1851773857 | Mini Apple Dental Enterprise Pllc | Dentist | 911 N Sylvania Ave, #150, Fort Worth, TX 76111 | 2015-06-25 |
| 1376953471 | Priya Vinothini Colluru | Dentist | 3913, Wheeler's Street, Fort Worth, TX 76111 | 2014-04-29 |
| 1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
| 1649507708 | Vicki Van Mai | Pharmacist | 3809 E. Belknap St., Fort Worth, TX 76111 | 2009-11-11 |
| 1295972990 | Elite Healthcare Fort Worth | Clinic/Center | 112 N. Beach St., Fort Worth, TX 76111 | 2009-01-16 |
| 1124234885 | Psychotherapy Services & Yokefellows | Counselor | 159 N. Riverside Dr, Fort Worth, TX 76111 | 2007-05-16 |
| Find all providers in zip 76111 | ||||
| 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 |
| 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 |
| 1790011815 | Shanna Marie Combs | Obstetrics & Gynecology | 1300 W Terrell Ave Ste 340, Fort Worth, TX 76104-2822 | 2009-10-23 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76111 |
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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.