Christopher A Ineama, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05609 Issued in TX

Practice address

3750 S University Dr # 275
Fort Worth, TX 76109-3795

Phone

(817) 294-9600

Fax

(817) 294-9611

NPI assigned

Oct 23, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mr. Christopher A Ineama Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Rpa Healthcare PA

  dba Dynamic RPA Practice

  • General Practice Physician
  • Fort Worth, TX
  • NPI 1336681170
  Authorized official Same address or phone
• Dynamic Rpa Healthcare PA

  dba Dynamic Medical

  • Primary Care Clinic/Center
  • Fort Worth, TX
  • NPI 1790100550
  Authorized official Same address or phone
• Dynamic Rpa Healthcare PC

  dba Dynamic Rpa Practice

  • General Practice Physician
  • Fort Worth, TX
  • NPI 1295968758

  Physician Assistant

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063601300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 S UNIVERSITY DR # 275",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093795",
            "telephone_number": "817-294-9600",
            "fax_number": "817-294-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S UNIVERSITY DR # 275",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093795",
            "telephone_number": "817-294-9600",
            "fax_number": "817-294-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 McCart Ave",
            "address_2": "# 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761336377",
            "country_code": "US",
            "telephone_number": "817-294-9600",
            "fax_number": "817-294-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INEAMA",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NY",
            "license": "010468-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012149-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2825044",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "INEAMA",
            "middle_name": "A",
            "prefix": "MR.",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Werner Ince, M.D.
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• Indus Dental Associates, P.C.
• Industrial & Family Pharmacy Inc (Industrial & Family Pharmacy)
• Lori Ann Infante
• Infectious Diseases 360 Inc
• Infectious Diseases Consultants of Texas PLLC
• Andrew Infinger
• Infinit Men's Health Clinic - Fort Worth

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.