DR. DONALD R PAEK SR. (NPI# 1902806482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902806482 |
| Entity Type | Individual |
| Full Name | DR. DONALD R PAEK SR. |
| Credential | MD |
| Practice Address |
5701 Bryant Irvin Rd Suite 102 Fort Worth TX 76132-4029 |
| Practice Telephone | 8172944184 |
| Practice Fax Number | 8172944198 |
| Mailing Telephone | 8172944184 |
| Mailing Fax Number | 8172944198 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2008-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | GA188 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5701 BRYANT IRVIN RD SUITE 102 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107638 | James Steven Cole | Family Medicine | 5701 Bryant Irvin Rd, Suite 201, Fort Worth, TX 76132-4029 | 2005-07-07 |
| 1609177351 | Texas Health Physicians Group | Family Medicine | 5701 Bryant Irvin Rd, Ste 201, Fort Worth, TX 76132-4029 | 2010-11-11 |
| 1063723260 | Laponna Rae Irvine-moore | Family Medicine | 5701 Bryant Irvin Rd, Suite 304, Fort Worth, TX 76132-4029 | 2010-06-23 |
| 1356570865 | Clark Aaron Meador | Family Medicine | 5701 Bryant Irvin Rd, Suite 301, Fort Worth, TX 76132-4029 | 2009-07-06 |
| 1003018490 | Physicians Family Practice Associates | Family Medicine | 5701 Bryant Irvin Rd, Suite 203, Fort Worth, TX 76132-4029 | 2007-06-05 |
| 1275605552 | Carter Moody Ross | Counselor | 5701 Bryant Irvin Rd, Suite 201, Fort Worth, TX 76132-4029 | 2006-11-14 |
| 1093885154 | Cityview Family Physicians | Family Medicine | 5701 Bryant Irvin Rd, Suite 201, Fort Worth, TX 76132-4029 | 2006-11-08 |
| 1932126521 | Robert W Hunnicutt | Orthopaedic Surgery | 5701 Bryant Irvin Rd, Suite 101, Fort Worth, TX 76132-4026 | 2006-07-17 |
| 1720023963 | Ellis Nick Abdo IIi | Family Medicine | 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132-4029 | 2006-06-19 |
| 1053353235 | Patricia Bagwell Phelps | Nurse Practitioner | 5701 Bryant Irvin Rd, Suite 304, Fort Worth, TX 76132-4029 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1447702964 | West Fort Worth Dermatology, P.a. | Dermatology | 4840 Bryant Irvin Ct, Suite 104, Fort Worth, TX 76107-7679 | 2016-11-01 |
| 1306228432 | Molly M Warthan Md | Dermatology | 1622 8th Ave Ste 120, Fort Worth, TX 76104-4155 | 2015-06-25 |
| 1407260151 | Heather Reagin | Dermatology | 2421 W 7th St Ste 205, Fort Worth, TX 76107-2393 | 2014-06-19 |
| 1548581564 | Julie Nguyen | Dermatology | 3516 Golden Triangle Blvd Ste 120, Fort Worth, TX 76244 | 2010-06-14 |
| 1407176043 | Northstar Dermatology, Pa | Dermatology | 5320 N Tarrant Pkwy, Suite 200, Fort Worth, TX 76244-5387 | 2010-06-06 |
| 1073773867 | Molly Mae Warthan | Dermatology | 5751 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109-4131 | 2008-06-15 |
| 1558569087 | Ronald Todd Plott | Dermatology | 12469 Timberland Blvd, Ste 501, Fort Worth, TX 76244-6548 | 2007-07-05 |
| 1427253095 | Jennifer Kathleen Tan | Dermatology | 5320 N Tarrant Pkwy Ste 200, Fort Worth, TX 76244-5387 | 2007-06-15 |
| 1942428024 | Faith Ashley Stewart | Dermatology | 7000 Bryant Irvin Rd, Ste 100, Fort Worth, TX 76132-4251 | 2007-04-23 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
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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.