Jack Orrin Gratch (NPI# 1912938267, PAC ID# 3779472501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1912938267 |
| PAC ID by PECOS | 3779472501 |
| Professional Enrollment ID | I20040311000691 |
| Full Name | Jack Orrin Gratch |
| Organization Legal Name | CLINICAL NEPHROLOGY ASSOCIATES, PA |
| Address |
1700 Mistletoe Blvd Fort Worth TX 76104-4042 |
| Phone Number | 8179238050 |
| Gender | M |
| Credential | MD |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 2062301880 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450565 | PALO PINTO GENERAL HOSPITAL |
| 450203 | WEATHERFORD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 | 8179238050 | CLINICAL NEPHROLOGY ASSOCIATES, PA |
| 920 Santa Fe Dr, Weatherford, TX 76086-5865 | 8177375200 | CLINICAL NEPHROLOGY ASSOCIATES, PA |
| 920 Santa Fe Dr, Suite 103, Weatherford, TX 76086-5865 | 8177375200 | CLINICAL NEPHROLOGY ASSOCIATES, PA |
| Organization Legal Name | CLINICAL NEPHROLOGY ASSOCIATES, PA |
| Physicians | 1 |
| Street Address |
1700 MISTLETOE BLVD |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-4042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asa D Koganti | Nephrology | Dallas Nephrology Associates | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | NEPHROLOGY |
| City + Specialty | FORT WORTH + NEPHROLOGY |
Please comment or provide details below to improve the information on Jack Orrin Gratch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.