T & R Clinic a Professional Association

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

T & R CLINIC A PROFESSIONAL ASSOCIATION

Practice address

2919 Markum Drive
Fort Worth, TX 76117-4004

Phone

(817) 831-0321

Fax

(817) 831-3211

NPI assigned

May 15, 2006

Last updated

Sep 24, 2010By 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

Suchita D. Reddy, M.D.NPI 1154325132

Title

President/Medical Doctor

Phone

(817) 831-0321

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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.

• Joseph Gene Carter, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1407029812
  Medicare reassignment Care Compare group NPD
• Rajneesh D Reddy, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1285652586
  Medicare reassignment Care Compare group NPD
• Suchita Reddy, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1154325132
  Medicare reassignment NPD Authorized official
• Beena M. Trivedi, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1457353500
  Medicare reassignment Care Compare group NPD
• Anum Ali, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1346740438
  Medicare reassignment NPD
• Paula M Peterson, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1568473601
  Medicare reassignment NPD

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1578514535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 MARKUM DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761174004",
            "telephone_number": "817-831-0321",
            "fax_number": "817-831-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 MARKUM DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761174004",
            "telephone_number": "817-831-0321",
            "fax_number": "817-831-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & R CLINIC A PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SUCHITA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "817-831-0321",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1311",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP0037",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92104103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syzygy Associates LP (Source One Rehabilitation)
• Helen Jean Szabuniewicz, RN BSN
• Mark Szczerba, DDS
• Cameron McDonald Szok, L.AC.
• Timothy Szu, OD
• T Off Men's Health
• T.a.N Logistics
• T&D Family Health LLC
• Eve Ngoc Ta
• Quang VI Ta, PHARMD

• 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 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.