HISHAM BISMAR MD PA (NPI# 1912194135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912194135 |
| Entity Type | Organization |
| Organization Name | HISHAM BISMAR MD PA |
| Practice Address |
11807 South Freeway, Ste 362 Fort Worth TX 76115 |
| Practice Telephone | 8175680004 |
| Practice Fax Number | 8175680804 |
| Mailing Telephone | 8175680004 |
| Mailing Fax Number | 8175680804 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2011-01-11 |
| Authorized Official Name | HISHAM BISMAR (MEDICAL DOCTOR/OWNER) |
| Authorized Official Telephone | 8175680004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | TX | Allopathic & Osteopathic Physicians | |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE GROUP | 0052BD | 01 |
| Street Address |
11807 SOUTH FREEWAY, STE 362 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154371078 | Hisham Bismar | Internal Medicine | 11807 South Freeway, Ste 362, Fort Worth, TX 76115 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400047 | Christine Vera Varela | Nurse Practitioner | Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 | 2017-11-09 |
| 1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
| 1508097858 | Misti Lynne Poulos | Massage Therapist | 4534 Stanley Ave, #361, Fort Worth, TX 76115 | 2009-08-04 |
| 1609015312 | Sirisha Bheemaneni | Internal Medicine | 11801 S Frwy, Fort Worth, TX 76115 | 2009-02-19 |
| 1639378292 | Jeffrey J. Raymond | Physician Assistant | 544 West Seminary Dr, Fort Worth, TX 76115 | 2007-07-13 |
| 1336367952 | Luis Sierra-nieves | Physician Assistant | 544 West Seminary Drive, Fort Worth, TX 76115 | 2007-04-20 |
| 1396861209 | Remedios R Cabansag | Obstetrics & Gynecology | 11803 So Freewax, Suite 254, Fort Worth, TX 76115 | 2007-03-22 |
| 1073602611 | Courage Rehab Clinic | Clinic/Center | 1670 North Hampton Road, Suite 110, Desoto, TX 76115 | 2006-10-12 |
| 1548369200 | Vijay Khanna | Podiatrist | 4759 B South Freeway, Ft Worth, TX 76115 | 2006-09-21 |
| 1225045164 | Allan M Wallace | Optometrist | 11803 South Frwy, Suite 114, Fort Worth, TX 76115 | 2006-08-02 |
| Find all providers in zip 76115 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730587999 | Hisham Bismar, Md | Internal Medicine | 11807 South Freeway, Suite 362a, Fort Worth, TX 76115-0337 | 2014-12-19 |
| 1538445085 | Texas Health Care, P.l.l.c. | Internal Medicine | 508 South Adams Street, Suite 200, Fort Worth, TX 76104-2151 | 2011-10-28 |
| 1962788455 | Texas Health Care, P.l.l.c. | Internal Medicine | 6302 Jacksboro Hwy., Suite A, Fort Worth, TX 76135-3607 | 2011-10-27 |
| 1588994875 | Adesubomi Agoro Md Pa | Internal Medicine | 1100 Pennsylvania Avenue, Fort Worth, TX 76104-2120 | 2010-01-08 |
| 1902084890 | Unec Group Inc | Internal Medicine | 117 King Ranch Ct, Fort Worth, TX 76108-9593 | 2008-02-04 |
| 1306023924 | Nikhat A. Qureshi, M.d., P.a. | Internal Medicine | 4255 Bryant Irvin Rd Ste 102, Fort Worth, TX 76109-4224 | 2008-01-25 |
| 1003907353 | Asthma Care Texas | Internal Medicine | 500 8th Avenue, Suite 110, Fort Worth, TX 76104 | 2006-09-28 |
| 1396710984 | David Ostransky | Internal Medicine | 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1517 | 2006-02-17 |
| 1285627539 | Richard W Hazen | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2005-08-23 |
| 1235467804 | Noble Ezukanma M.d P.a | Internal Medicine | 117 King Ranch Ct, Fort Worth, TX 76108-9593 | 2009-11-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76115 |
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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.