West LPN Fort Worth Oncology PLLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

WEST LPN FORT WORTH ONCOLOGY PLLC

Practice address

1650 W Rosedale St
Ste 300
Fort Worth, TX 76104-7400

Phone

(817) 338-9291

Fax

(817) 335-2817

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Jeff Henderson

Title

President

Phone

(972) 401-8726

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plaza Cancer Specialists Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhett Keyser Fredric, MD

  • Hematology & Oncology Physician
  • Fort Worth, TX
  • NPI 1245213230
  NPD (past)
• Solly Silwan Chedid, M.D.

  • Hematology & Oncology Physician
  • Pascagoula, MS
  • NPI 1972586188
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1316112261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-338-9291",
            "fax_number": "817-335-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LPN FORT WORTH ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-401-8726"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197152501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Cancer Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Wesling, PHARM.D.
• Krystyna Wesp, D.O.
• Mary Carolyn Wesson, CRNA
• West Fort Worth Dermatology, P.a.
• West Keller Dental
• West Magnolia Plastic Surgery PA
• West Magnolia Surgery Center
• West Side Orthopaedic Clinic
• West Texas Dental Fort Worth PLLC
• West Texas Internal Medicine Clinic

• Medical Oncology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Medical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.