Individual provider Active NPI

Rowena J Maclin, D.O.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1316936941
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3738 Issued in TX
Practice address
1650 S Beach St
Fort Worth, TX 76105-2209
Phone
(817) 702-1100
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 L3738 TX Primary

Addresses

Primary practice location

1650 S Beach St
Fort Worth, TX 76105-2209

Mailing address

200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657
Phone (817) 702-2977

Other practice location 1

529 W Wheatland Rd
Duncanville, TX 75116-4515
Phone (817) 561-2061

Other practice location 2

7405 Corsair CT
Arlington, TX 76016-5312
Phone (817) 561-2061

Other practice location 3

1521 N Cooper St Ste 213
Arlington, TX 76011-5522
Phone (877) 288-7968

Other identifiers 1

IdentifierTypeStateIssuer
1525032MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000646 TX Practitioner - Family Practice 2668405481 Reassigns benefits to 4 organizations
Practice locations: Arlington, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians
Cait Care Providers PLLCGroup PAC ID 7315338399, 7 clinicians

Practice addresses (Care Compare)

1650 S Beach St
Fort Worth, TX 76105-2209
Phone (817) 702-1100

600 E Rosedale St
Suite 125
Fort Worth, TX 76104-5175
Phone (682) 207-3598

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cait Care Providers PLLC Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Texas Health and Therapy Centers Family Medicine CurrentSince Oct 12, 2022 Accepting new patients
Guard Healthcare Systems LLC PastSince Nov 1, 2023 Accepting new patients

Locations

600 E Rosedale St
Ste 125
Fort Worth, TX 76104
Phone (682) 207-3598

5521 Bellaire Dr S
Ste 110
Ft Worth, TX 76109
Phone (817) 926-9642

Interoperability endpoints

  • Direct secure messaging: rowena.maclin.1@11656.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1316936941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047657",
            "telephone_number": "817-702-2977",
            "fax_number": "817-702-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761052209",
            "telephone_number": "817-702-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 W Wheatland Rd",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164515",
            "country_code": "US",
            "telephone_number": "817-561-2061",
            "fax_number": "817-711-9866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7405 CORSAIR CT",
            "address_purpose": "LOCATION",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165312",
            "country_code": "US",
            "telephone_number": "817-561-2061",
            "fax_number": "817-711-9866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 N Cooper St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760115522",
            "country_code": "US",
            "telephone_number": "877-288-7968",
            "fax_number": "754-218-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACLIN",
        "first_name": "ROWENA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525032",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.