Active NPI
Gerard Poche, M.D.
- Anesthesiology Physician
- Fort Worth, TX
National Provider Identifier
1073584561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- F7059
- Practice address
- 1000 Houston Street
Suite 200
Fort Worth, TX 76102 - Phone
- (817) 336-0551
- Fax
- (817) 339-3940
- NPI assigned
- Feb 1, 2006
- Last updated
- Dec 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | F7059 | TX | Primary |
Addresses
Primary practice location
1000 Houston Street
Suite 200
Fort Worth, TX 76102
Mailing address
1000 Houston Street
Suite 200
Fort Worth, TX 76102
Phone (817) 336-0551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128035607 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041016000093 | TX | Practitioner - Anesthesiology | 7315907060 | Practice locations: Tyler, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F7059 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcare of North Texas PA | Anesthesiology | Past | Accepting new patients |
| Plaza Anesthesia Consultants, PLLC | Anesthesiology | Past | Accepting new patients |
| Neurodiagnostics Tex Inc | Past | Accepting new patients | |
| Plaza Anesthesia Group P.L.L.C. | Anesthesiology | Past | Accepting new patients |
| Northstar Anesthesia, PA | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- gerard.poche@cndpa.directbygreenway.com
Organizations & group practices 5
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.
-
- Electrodiagnostic Medicine Physician
- Tyler, TX
- NPI 1841691763
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1699927475
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1851482871
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1538142088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1073584561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HOUSTON STREET",
"address_2": "SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76102",
"telephone_number": "817-336-0551",
"fax_number": "817-339-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HOUSTON STREET",
"address_2": "SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76102",
"telephone_number": "817-336-0551",
"fax_number": "817-339-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POCHE",
"first_name": "GERARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "F7059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128035607",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.