Organization Active NPI

Robert T. Zwernemann, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1326286113
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K0508 Issued in TX
Legal business name
ROBERT T. ZWERNEMANN, M.D., P.A.
Practice address
851 W. Terrell Ave.
Fort Worth, TX 76104-3161
Phone
(817) 870-2258
Fax
(817) 916-5811
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Dr. Robert T Zwernemann, M.D.
Title
Owner
Phone
(817) 870-2258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X K0508 TX Primary

Addresses

Primary practice location

851 W. Terrell Ave.
Fort Worth, TX 76104-3161

Mailing address

851 W. Terrell Ave.
Fort Worth, TX 76104-3161
Phone (817) 870-2258

Other identifiers 1

IdentifierTypeStateIssuer
038870402MedicaidTX

National Provider Directory

National Provider Directory

Locations

851 W Terrell Ave
Ft Worth, TX 76104
Phone (817) 332-8346

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1326286113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W. TERRELL AVE.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043161",
            "telephone_number": "817-870-2258",
            "fax_number": "817-916-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W. TERRELL AVE.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043161",
            "telephone_number": "817-870-2258",
            "fax_number": "817-916-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T. ZWERNEMANN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "ZWERNEMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-870-2258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K0508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038870402",
            "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 Feb 3, 2014; 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.