Adin William Mizer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

V3385 Issued in TX

Practice address

1500 S Main St
Fort Worth, TX 76104-4917

Phone

(817) 702-1100

NPI assigned

Apr 6, 2023

Last updated

Sep 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Emergency Medicine

Education

Texas Tech University Health Science Center School of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Preferred Hospital Leasing Coleman IncGroup PAC ID 4789574724, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coleman County Medical Center Company Hospital, Coleman, TX, CCN 451347

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Preferred Hospital Leasing Coleman, Inc.

  dba Coleman County Medical Center

  • Family Medicine Physician
  • Coleman, TX
  • NPI 1275938714
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Preferred Hospital Leasing Coleman, Inc.

  dba Coleman County Medical Center

  • Critical Access Hospital
  • Coleman, TX
  • NPI 1407121189
  Medicare reassignment NPD
• Preferred Hospital Leasing Coleman Inc

  dba Coleman County Medical Center

  • Anesthesiology Physician
  • Coleman, TX
  • NPI 1063869329
  NPD
• Preferred Hospital Leasing Coleman, Inc.

  dba Coleman Medical Associates

  • Rural Health Clinic/Center
  • Coleman, TX
  • NPI 1356607824
  NPD

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

• Preferred Hospital Leasing Coleman, Inc.

  dba Coleman County Medical Center

  • Critical Access Hospital
  • Coleman, TX
  • NPI 1407121189
  Care Compare affiliation

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1346935350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZER",
        "first_name": "ADIN",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V3385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Mitton
• Salma Mitwan
• David William Mize
• Terry Mizell, LPC
• Kimberly Phillips Mizener, FNP
• MJB Medical Supplies, LLC
• Mjheath Enterprises (Expert Mobility)
• MLD Healthcare, LLC (MD Your-ology Health)
• Agnieszka E Mlodnicka, PHD
• MMS Equipment of Dallas West LLC (Majors Medical Service)

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.