Dana Kirby (NPI# 1730282781, PAC ID# 3971578758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730282781 |
| PAC ID by PECOS | 3971578758 |
| Professional Enrollment ID | I20040826000915 |
| Full Name | Dana Kirby |
| Organization Legal Name | WATAUGA FAMILY PRACTICE PA |
| Address |
5445 Basswood Blvd Suite 650 Fort Worth TX 76137-4437 |
| Phone Number | 8174850161107 |
| Gender | F |
| Credential | MD |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810970951 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670103 | MEDICAL CITY ALLIANCE |
| Address | Phone | Organization |
|---|---|---|
| 5445 Basswood Blvd, Suite 650, Fort Worth, TX 76137-4437 | 8174850161107 | WATAUGA FAMILY PRACTICE PA |
| Organization Legal Name | WATAUGA FAMILY PRACTICE PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Allan Hodgson | Family Medicine | Watauga Family Practice Pa | 5445 Basswood Blvd, Suite 650, Fort Worth, TX 76137-4437 |
| David C Haefeli | Family Medicine | Watauga Family Practice Pa | 5445 Basswood Blvd, Suite 650, Fort Worth, TX 76137-4437 |
| Sudha R Jogimahanti | Family Medicine | Watauga Family Practice Pa | 5445 Basswood Blvd, Suite 650, Fort Worth, TX 76137-4437 |
| Robert Thomas Jackson | Physician Assistant | Watauga Family Practice Pa | 5445 Basswood Blvd, Suite 650, Fort Worth, TX 76137-4437 |
| Street Address |
5445 BASSWOOD BLVD SUITE 650 |
| City | FORT WORTH |
| State | TX |
| Zip | 76137-4437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Allan Hodgson | Family Medicine | Watauga Family Practice Pa | 5445 Basswood Blvd, Suite 650, Fort Worth, TX 76137-4437 |
| David C Haefeli | Family Medicine | Watauga Family Practice Pa | 5445 Basswood Blvd, Suite 650, Fort Worth, TX 76137-4437 |
| Sudha R Jogimahanti | Family Medicine | Watauga Family Practice Pa | 5445 Basswood Blvd, Suite 650, Fort Worth, TX 76137-4437 |
| Robert Thomas Jackson | Physician Assistant | Watauga Family Practice Pa | 5445 Basswood Blvd, Suite 650, Fort Worth, TX 76137-4437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April C Langham | Chiropractic | 7630 N Beach St, Suite 160, Fort Worth, TX 76137-1299 | |
| David W Simonak | Family Medicine | Fossil Creek Family Medical Center | 7510 N Beach St, Ft Worth, TX 76137-1505 |
| Brady Simonak | Family Medicine | Fossil Creek Family Medical Center | 7510 N Beach St, Ft Worth, TX 76137-1505 |
| Ryan D Simonak | Family Medicine | Fossil Creek Family Medical Center | 7510 N Beach St, Ft Worth, TX 76137-1505 |
| Huy L Nguyen | Internal Medicine | Tarrant Internal Medicine and Pediatrics, Pllc | 7520 N Beach St, Suite 108, Fort Worth, TX 76137-1680 |
| Ha Chieu Do | Internal Medicine | Tarrant Internal Medicine and Pediatrics, Pllc | 7520 N Beach St, Suite 108, Fort Worth, TX 76137-1680 |
| Gideon T Traweek | Chiropractic | 3625 Western Ctr Blvd, Ft Worth, TX 76137-1936 | |
| Pareshkumar M. Patel | Family Medicine | Texas Health Care Pllc | 3645 Western Ctr Blvd, Fort Worth, TX 76137-1936 |
| Ashley D Hartzog | Physician Assistant | Texas Health Care Pllc | 3645 Western Ctr Blvd, Fort Worth, TX 76137-1936 |
| Derek D Nelson | Chiropractic | Chiroplus North PC | 3625 Western Ctr Blvd, Ft Worth, TX 76137-1936 |
| Find all physicians in zip 76137 | |||
| City | FORT WORTH |
| Zip Code | 76137 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT WORTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dana Kirby.
| 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.