NPIMap

Individual provider Active NPI

David E Worner, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1114091329
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7231 Issued in TX
Practice address
2106 N Main St
Fort Worth, TX 76164-8511
Phone
(817) 625-4254
Fax
(817) 625-8451
NPI assigned
Nov 20, 2006
Last updated
Jun 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7231 TX Primary

Addresses

Primary practice location

2106 N Main St
Fort Worth, TX 76164-8511

Mailing address

2106 N Main St
Fort Worth, TX 76164-8511
Phone (817) 625-4254

Other identifiers 1

IdentifierTypeStateIssuer
113550103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000630 TX Practitioner - Family Practice 7113066291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muleshoe Area Hospital DistrictGroup PAC ID 8820906167, shared by 5 NPIs, 11 clinicians

Practice addresses (Care Compare)

708 S 1St St
Muleshoe, TX 79347-3627
Phone (806) 272-4524

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K7231TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muleshoe Area Hospital District CurrentSince Aug 28, 2024 Accepting new patients
Muleshoe Area Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Muleshoe Area Hospital District Family Medicine CurrentSince Aug 28, 2024 Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Past Accepting new patients
Muleshoe Area Hospital District Past Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Family Medicine Past Accepting new patients

Locations

708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1114091329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 N MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761648511",
            "telephone_number": "817-625-4254",
            "fax_number": "817-625-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 N MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761648511",
            "telephone_number": "817-625-4254",
            "fax_number": "817-625-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORNER",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113550103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.