Organization Active NPI

Urology Consultants of Fort Worth LLP

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1407050057
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D8491 Issued in TX
Legal business name
UROLOGY CONSULTANTS OF FORT WORTH LLP
Practice address
800 8TH Ave
Suite 626
Fort Worth, TX 76104-2601
Phone
(817) 877-1288
Fax
(817) 877-5242
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Sidney A Worsham III, M.D.NPI 1144318999
Title
Limited Partner
Phone
(817) 877-1288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X D8491 TX Primary

Addresses

Primary practice location

800 8TH Ave
Suite 626
Fort Worth, TX 76104-2601

Mailing address

800 8TH Ave
Suite 626
Fort Worth, TX 76104-2601
Phone (817) 877-1288

Other identifiers 1

IdentifierTypeStateIssuer
0814303-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

800 8th Ave
Ste 626
Fort Worth, TX 76104
Phone (817) 243-7995

6100 Harris Pkwy
Ste 225
Ft Worth, TX 76132
Phone (817) 346-5151

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1407050057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-877-1288",
            "fax_number": "817-877-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-877-1288",
            "fax_number": "817-877-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CONSULTANTS OF FORT WORTH LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "WORSHAM",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LIMITED PARTNER",
        "authorized_official_telephone_number": "817-877-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "D8491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0814303-01",
            "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 Jan 5, 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.