DAVID FLETCHER (NPI# 1891743860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891743860 |
| Entity Type | Individual |
| Full Name | DAVID FLETCHER |
| Credential | DO |
| Practice Address |
1301 Pennsylvania Ave Fort Worth TX 76104-2122 |
| Mailing Address |
Po Box 1365 Springtown TX 76082-1365 |
| Practice Telephone | 8178822000 |
| Mailing Telephone | 8179951432 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
L1039 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0077NG | 01 |
| TX | 141959007 | 05 | |
| TX | 141229807 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962691238 | David Andrew Fletcher | Physical Therapist | 65 Old Solomons Island Rd, Ste 104, Annapolis, MD 21401-3841 | 2007-10-23 |
| 1356497895 | David Simpson Fletcher | Chiropractor | 1323 Darlington Ave, Crawfordsville, IN 47933-2006 | 2007-01-26 |
| 1639243868 | David J Fletcher | Family Medicine | 1806 N Market St, Champaign, IL 61822 | 2006-11-20 |
| 1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
| 1144242348 | David King Fletcher | Pain Medicine | 816 S Fleishel Ave, Tyler, TX 75701-2016 | 2006-07-24 |
| 1306262050 | David Fletcher | Counselor | 607 W 7th St, Appleton, WI 54911-5923 | 2014-03-05 |
| 1548461643 | David Troy Fletcher | Family Medicine | 1550 Eatonton Rd, Madison, GA 30650-4627 | 2007-05-29 |
| Street Address |
1301 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227257 | Robert Louis Quillin | Pediatrics | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2005-07-05 |
| 1003414996 | Jana Mitchell | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-10-13 |
| 1730799941 | Brin Alexandra Morris | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1871103168 | Niki Sheth | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1033736863 | Molly Taylor | Respiratory Therapist, Registered | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-27 |
| 1215554175 | Suja Varghese | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1538786470 | Amanda A Viehmann | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1376169599 | Heather Nicole Le | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-23 |
| 1750904249 | Kelli Renee Vogler | Physician Assistant | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-19 |
| 1598387169 | Alim Virji | Radiology | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-17 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740233543 | Michael L. Richey | Emergency Medicine | 7633 Bellaire Dr S Ste 117, Fort Worth, TX 76132-4311 | 2006-05-19 |
| 1477518009 | Peter D Hayward | Emergency Medicine | 11801 S Freeway, Fort Worth, TX 76134 | 2006-04-18 |
| 1225431588 | Cec Oakmont Er Physicians Pllc | Emergency Medicine | 7445 Oakmont Blvd, Fort Worth, TX 76132-3905 | 2014-10-01 |
| 1265852552 | Layton Kayle Hamblin | Emergency Medicine | 1500 S Main St, Fort Worth, TX 76104-4917 | 2014-04-24 |
| 1760552616 | Yiling Kao | Emergency Medicine | 7100 Oakmont Blvd, Fort Worth, TX 76132-3900 | 2006-11-08 |
| 1346265071 | Huguley Emergency Physicians, LLP | Emergency Medicine | 11801 S Freeway, Fort Worth, TX 76134 | 2006-07-13 |
| 1255377081 | Paul A Haberer | Emergency Medicine | 4060 Sandshell Dr, Fort Worth, TX 76137-2422 | 2006-06-21 |
| 1851356471 | Harold E Johnson | Emergency Medicine | 11801 S. Freeway, Fort Worth, TX 76134 | 2006-04-18 |
| 1023073665 | Karim S Jamal | Emergency Medicine | 11801 S. Freeway, Fort Worth, TX 76134 | 2006-04-18 |
| 1508821216 | Mehboob S Qassam | Emergency Medicine | 11801 S. Freeway, Fort Worth, TX 76134 | 2006-04-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on DAVID FLETCHER.
| 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.