GED MEDICAL MANAGEMENT INC (NPI# 1942424452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942424452 |
| Entity Type | Organization |
| Organization Name | GED MEDICAL MANAGEMENT INC |
| Other Organization Name | DIAGNOSTIC PAVILION |
| Practice Address |
2001 Cooper Street Fort Worth TX 76104 |
| Practice Telephone | 8178773054 |
| Practice Fax Number | 8175460851 |
| Mailing Telephone | 8178773054 |
| Mailing Fax Number | 8175460851 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | ALAN IRA ETTINGER (CFO/PRESIDENT) |
| Authorized Official Telephone | 8178773054 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
R29901 | TX | Ambulatory Health Care Facilities |
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS PROVIDER NUMBE | 0533DC | 01 |
| TX | STATE LISC.# | R29901 | 01 |
| Other Name | Type Code |
|---|---|
| Diagnostic Pavilion | Doing Business As Name - Organization |
| Street Address |
2001 COOPER STREET |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104 |
| 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 | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972937027 | Midtown Medical Imaging Limited | Clinic/Center | 900 Jerome St Ste 104, Fort Worth, TX 76104-3937 | 2013-08-26 |
| 1043566011 | Preferred Imaging of Fort Worth LLC | Clinic/Center | 851 Grainger St, Suite 101, Fort Worth, TX 76104-4645 | 2012-07-27 |
| 1962624791 | Fort Worth Pain Management Center LLC | Clinic/Center | 3345 Winthrop Ave, Fort Worth, TX 76116-5604 | 2007-05-02 |
| 1033112834 | Open Mri of Fort Worth, L.c. | Clinic/Center | 6500 West Fwy, Ste 104, Fort Worth, TX 76116-2139 | 2005-05-24 |
| 1851394753 | Medfund LLC | Clinic/Center | 7440 Oakmont Blvd, Fort Worth, TX 76132-3904 | 2005-05-24 |
| 1902260821 | Mri Centers of Texas LLC | Clinic/Center | 1000 Lipscomb St, Suite 100, Fort Worth, TX 76104-3180 | 2016-04-06 |
| 1447630587 | Saawan Health Services LLC | Clinic/Center | 7440 Oakmont Blvd, Fort Worth, TX 76132-3904 | 2015-06-04 |
| 1720226616 | A1 Imaging Centers LLC | Clinic/Center | 7440 Oakmont Blvd, Fort Worth, TX 76132-3904 | 2009-01-30 |
| 1548420698 | A1 Imaging of Ft Worth LLC | Clinic/Center | 7440 Oakmont Blvd, Fort Worth, TX 76132-3904 | 2008-06-12 |
| 1225204654 | Prestige Imaging, LLC | Clinic/Center | 6789 Camp Bowie Blvd, Fort Worth, TX 76116-7112 | 2008-05-06 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on GED MEDICAL MANAGEMENT INC.
| 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.