Planoverse Iom LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

PLANOVERSE IOM LLC

Practice address

500 Throckmorton Street
Unit 3012
Fort Worth, TX 76102

Phone

(817) 908-8124

Fax

(817) 885-7339

NPI assigned

Sep 22, 2015

Last updated

Sep 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Augusto C Lastimosa, M.D.NPI 1679509715

Title

Managing Member

Phone

(817) 366-4777

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Augusto C.B. Lastimosa, M.D.

  • Specialist
  • Fort Worth, TX
  • NPI 1679509715
  Authorized official Same address or phone

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1467821256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 THROCKMORTON STREET",
            "address_2": "UNIT 3012",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76102",
            "telephone_number": "817-908-8124",
            "fax_number": "817-885-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THROCKMORTON STREET",
            "address_2": "UNIT 3012",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76102",
            "telephone_number": "817-908-8124",
            "fax_number": "817-885-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANOVERSE IOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "LASTIMOSA",
        "authorized_official_first_name": "AUGUSTO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-366-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Planells
• Henry Kofi Plange Jr., PTA
• Planned Parenthood of Greater Texas Family Planning Services
• Planned Parenthood of North Texas - Southeast Health Services
• Plano Iom PLLC
• Planted Seedz LLC
• Plastic Surgery Associates PA
• Carrie S Platt, ARNP
• Kacy Platt, LPC, NCCC
• M Jay Platt, P.T.

• Surgical Technologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.