LEAN 3, LLC (NPI# 1811375645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811375645 |
Entity Type | Organization |
Organization Name | LEAN 3, LLC |
Other Organization Name | THINIQUE KELLER |
Practice Address |
4420 Heritage Trace Pkwy Ste 308 Fort Worth TX 76244-8903 |
Practice Telephone | 8177175100 |
Mailing Telephone | 8177175100 |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |
Authorized Official Name | JASON TINLEY (PRINCIPAL) |
Authorized Official Telephone | 8177175100 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
M7690 | TX | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Thinique Keller | Doing Business As Name - Organization |
Street Address |
4420 HERITAGE TRACE PKWY STE 308 |
City | FORT WORTH |
State | TX |
Zip Code | 76244-8903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073959631 | Usrc Keller LLC | Clinic/Center | 4420 Heritage Trace Pkwy, Suite 312, Fort Worth, TX 76244-8904 | 2013-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
Find all providers in zip 76244 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992113088 | Equinox Spine Pa | Orthopaedic Surgery | 3160 North Tarrant Parkway, Fort Worth, TX 76177 | 2014-08-01 |
1871739383 | Jason C Tinley, Md, Pllc | Orthopaedic Surgery | 4441 Bryant Irvin Rd N, Fort Worth, TX 76107-7338 | 2009-01-05 |
1184800732 | Jason Christopher Tinley | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2008-01-14 |
1023214475 | Andrew Albert Indresano | Orthopaedic Surgery | 3160 N Tarrant Pkwy Ste 404, Fort Worth, TX 76177-8614 | 2007-06-22 |
1770124851 | Clavw | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2019-09-30 |
1669970943 | Optimal Health Network of Texas LLC | Orthopaedic Surgery | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2018-01-31 |
1265969562 | Lone Star Spine Institute, Pa | Orthopaedic Surgery | 3600 W 7th St Ste A, Fort Worth, TX 76107-2534 | 2017-05-17 |
1528324118 | Carson L Fairbanks | Orthopaedic Surgery | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132 | 2012-04-09 |
1932473436 | Vishal Chandrakant Patel | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2012-02-29 |
1437474608 | Neil Dilip Shah | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2010-03-31 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76244 |
Please comment or provide details below to improve the information on LEAN 3, LLC.
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.