UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH NPI 1003001173
Pathology (Clinical Pathology/Laboratory Medicine) in Fort Worth, TX
About UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
University Of North Texas Health Science Center Of Fort Worth is a provider established in Fort Worth, Texas specializing in pathology. The NPI number of University Of North Texas Health Science Center Of Fort Worth is 1003001173 and was assigned on September 2007. The practitioner's primary taxonomy code is 207ZP0105X. The provider is registered as an organization and their NPI record was last updated 2 years ago. University Of North Texas Health Science Center Of Fort Worth operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Leslie Henderson (Revenue Cycle Director)
| NPI | 1003001173 |
| Provider Name | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH |
| Provider Location Address | 855 MONTGOMERY ST FORT WORTH, TX 76107 |
| Provider Mailing Address | 3500 CAMP BOWIE BLVD FORT WORTH, TX 76107 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-11-2007 |
| Last Update Date | 06-06-2018 |
Primary Taxonomy
| Taxonomy Code | 207ZP0105X |
| Classification | Pathology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Clinical Pathology/Laboratory Medicine |
| Taxonomy Description | A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Business Address
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2000
Mailing Address
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
3500 CAMP BOWIE BLVD
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2000
Group Taxonomy
193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 138980112 | MEDICAID (05) | TX |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053375543 | BARBARA A ATKINSON DO Individual | Internal Medicine (Infectious Disease) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1093793226 | EVERT RANDALL BENTLEY DO Individual | Internal Medicine | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1093795478 | DAVID C MASON DO Individual | Family Medicine | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2235 |
| 1144284910 | TOYYA S GOODRICH DO Individual | Pediatrics | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2363 |
| 1164487583 | NANCY A TIERNEY NP Individual | Nurse Practitioner (Acute Care) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1174587935 | CRAIG W SPELLMAN DO Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 855 MONTGOMERY ST PATIENT CARE CENTER 3RD FL FORT WORTH, TX 76107 (817) 735-2660 |
| 1184688053 | BARBARA L HARTY GNP Individual | Nurse Practitioner (Gerontology) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1194788844 | RAHUL K PATEL MD Individual | Internal Medicine (Rheumatology) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1225000326 | MONTE E TROUTMAN DO Individual | Internal Medicine (Gastroenterology) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1245203488 | JERRY DICKEY DO Individual | Neuromusculoskeletal Medicine & OMM | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2235 |
| 1275598856 | WILLIAM E MCINTOSH DO Individual | Psychiatry & Neurology (Neurology) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1285632133 | SHARON M GUSTOWSKI DO Individual | Neuromusculoskeletal Medicine & OMM | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2235 |
| 1285696658 | SUSAN FRANKS PHD Individual | Psychologist (Clinical) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2400 |
| 1407810344 | JOHN K PODGORE DO Individual | Pediatrics | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2363 |
| 1629032560 | SARAH J MATCHES DO Individual | Pediatrics | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2363 |
| 1700859154 | RUSSELL GAMBER DO Individual | Neuromusculoskeletal Medicine & OMM | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2235 |
| 1790749570 | CHRISTOPHER COOPER PA Individual | Physician Assistant | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2363 |
| 1801868906 | MICHAEL ERNEST WIMMER MD Individual | Physical Medicine & Rehabilitation | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2900 |
| 1922087055 | AMY E MOSS DO Individual | Internal Medicine | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1952362550 | JAMES ROCH Individual | Physician Assistant | 855 MONTGOMERY ST PCC-SECOND FLOOR FORT WORTH, TX 76107 (817) 735-2228 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.