THEODORE SUNAO TAKATA


Address: 1300 W Terrell Ave, #500, Fort Worth, TX 76104-2800
Phone: 8172525000

THEODORE SUNAO TAKATA (NPI# 1801884382) 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) 1801884382
Entity Type Individual
Full Name THEODORE SUNAO TAKATA
Credential MD
Practice Address 1300 W Terrell Ave
#500
Fort Worth
TX 76104-2800
Practice Telephone 8172525000
Practice Fax Number 8172525060
Mailing Telephone 8172525000
Mailing Fax Number 8172525060
Enumeration Date 2005-10-10
Last Update Date 2011-08-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
K8508 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX RAIL ROAD MEDICARE P00226814 01
TX 039267203 05
TX 039267205 05
TX BLUE CROSS 8M6142 01

Office Location

Street Address 1300 W TERRELL AVE
#500
City FORT WORTH
State TX
Zip Code 76104-2800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205822699 James Daniel Johnson Urology 1300 W Terrell Ave, Suite 420, Fort Worth, TX 76104-2820 2005-09-21
1346874336 Duy Truong Nurse Practitioner 1300 W Terrell Ave, Fort Worth, TX 76104-2820 2020-02-27
1679960025 Lauren Arditti Obstetrics & Gynecology 1300 W Terrell Ave, Fort Worth, TX 76104 2015-04-23
1477945665 Karina Ivanna Martinez Physician Assistant 1300 W Terrell Ave, Suite 400, Fort Worth, TX 76104-2820 2015-02-24
1205275237 Monica Reno Midwife 1300 W Terrell Ave, Fort Worth, TX 76104-2820 2013-06-24
1356785315 Natalie Alane Hughes Obstetrics & Gynecology 1300 W Terrell Ave, Fort Worth, TX 76104-2820 2013-04-22
1235450743 Usmd Diagnostic Services, LLC Clinical Medical Laboratory 1300 W Terrell Ave, Suite 404, Fort Worth, TX 76104-2820 2010-06-18
1952622706 Jacqueline Laboe Garda Obstetrics & Gynecology 1300 W Terrell Ave, Fort Worth, TX 76104 2010-06-16
1952556433 Lindsey R. Washburn Physician Assistant 1300 W Terrell Ave, Ste 400, Fort Worth, TX 76104-2820 2008-11-25
1932365491 Sharon R. Melvani Internal Medicine 1300 W Terrell Ave, Suite K230, Fort Worth, TX 76104-2820 2008-08-04
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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 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518134329 Neelima Paladugu Internal Medicine 844 Pennsylvania Ave Ste 110, Fort Worth, TX 76104-2269 2008-05-12
1396762357 Heart Center of North Texas, Pa Internal Medicine 1017 12th Ave, Fort Worth, TX 76104-3915 2006-07-16
1386632008 Kenneth Wade Mcbride Internal Medicine 1300 W Terrell Ave, #500, Fort Worth, TX 76104-2800 2005-10-06

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1548881808 Mobitz Heart and Rhythm Center Pllc Internal Medicine Scurlock Tower, 6560 Fannin St., Houston, TX 77030 2020-04-28
1548813207 Cardiac Arrhythmia Care, Pllc Internal Medicine 9440 Bellaire Blvd Ste 206, Houston, TX 77036-4557 2019-07-22
1528527983 Brazos Ep Pllc Internal Medicine 1721 Birmingham Dr Ste 202, College Station, TX 77845-4081 2019-03-15
1245726108 Pds Turnkey LLC Internal Medicine 18320 Michaelangelo Dr Apt Suite, Dallas, TX 75287-3334 2018-07-03
1356846307 Personal Health Assessment Internal Medicine 18320 Michael Angelo Drive, Dallas, TX 75287 2018-03-29
1689028334 Billy Dimas Md Pllc Internal Medicine 5610 Northmoor Dr, Dallas, TX 75230-2644 2016-04-19
1639555014 Kamran A Rizvi Md Pa Internal Medicine 5713 Pantheon Ct, Plano, TX 75024-4569 2015-08-07
1104164672 Zarzamora Medical Associates Internal Medicine 626 S Zarzamora St, San Antonio, TX 78207-5254 2013-01-17
1215283841 Cvc Cardiac Cath Lab Pllc Internal Medicine 2401 Sse Loop 323, Tyler, TX 75701-6027 2012-08-01
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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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