ENVISION IMAGING OF NORTH FORT WORTH (NPI# 1932254679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932254679 |
| Entity Type | Organization |
| Organization Name | ENVISION IMAGING OF NORTH FORT WORTH |
| Practice Address |
4232 Heritage Trace Pkwy Fort Worth TX 76244-5375 |
| Mailing Address |
8610 Explorer Dr 300 Colorado Springs CO 80920-1058 |
| Practice Telephone | 8177410008 |
| Practice Fax Number | 8177413908 |
| Mailing Telephone | 7199554140 |
| Mailing Fax Number | 7199554148 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | JEFF JONES (PARTNER) |
| Authorized Official Telephone | 7199554332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 192555401 | 05 |
| Street Address |
4232 HERITAGE TRACE PKWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-5375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609419134 | Jessica Renae Carr | Nurse Practitioner | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2019-10-28 |
| 1144704552 | Dominique Dacus | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-09-20 |
| 1528542594 | Erika Rodriguez Lozano | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-09-17 |
| 1962983767 | Michelle Gay Mcmillan | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-08-28 |
| 1588166755 | Laurence Saputra | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-03-05 |
| 1356859185 | Tricia Tillman | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-01-15 |
| 1023528775 | Cathleen Ricks | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2017-10-09 |
| 1275905937 | Deann Harrison | Nurse Practitioner | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2015-10-21 |
| 1750777850 | Shawntee Desaray Goff | Social Worker | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2015-04-15 |
| 1346639085 | Constance Canada | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2015-01-19 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389392 | Thomas Fikar | Radiology | 8216 Deerwood Forest Dr, Fort Worth, TX 76126-5181 | 2014-05-29 |
| 1487939328 | Fort Worth Radiology, Pllc | Radiology | 2603 8th Ave Ste D, Suite D, Fort Worth, TX 76110-3000 | 2011-10-11 |
| 1730331380 | Steven L. Hsu | Radiology | 5750 Stratum Dr, Fort Worth, TX 76137-2757 | 2008-10-15 |
| 1841468360 | Walworth Edward Burge | Radiology | 815 Pennsylvainia Ave, Fort Worth, TX 76104-2224 | 2008-02-19 |
| 1306034699 | Pin Point Radiology Management Seaford Pa | Radiology | 1412 W Magnolia Ave, Suite 100, Fort Worth, TX 76104-4378 | 2007-10-11 |
| 1689897977 | Stephen Melvyn Lobo | Radiology | 815 Pennsylvania Avenue, Fort Worth, TX 76104-2224 | 2007-04-11 |
| 1235269119 | Texas Health Care, P.l.l.c. | Radiology | 3800 Hulen, Suite 100, Fort Worth, TX 76107-7270 | 2007-03-07 |
| 1245360171 | Texas Health Care, P.l.l.c. | Radiology | 800 W Magnolia Ave Ste 100, Fort Worth, TX 76104-4611 | 2007-03-07 |
| 1033160015 | Monticello Diagnostic Imaging Lp | Radiology | 3712 W 7th Street, Suite A, Fort Worth, TX 76107 | 2006-05-13 |
| 1285694364 | Ronald Dean Alexander | Radiology | 5100 N Branch Dr, Fort Worth, TX 76132-3745 | 2006-03-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on ENVISION IMAGING OF NORTH FORT WORTH.
| 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.