Jill Gramer DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JILL GRAMER DO PA

Practice address

6312 Azle Ave Ste 200
Fort Worth, TX 76135-2442

Phone

(682) 841-1056

Fax

(682) 841-1161

NPI assigned

Jun 18, 2010

Organization subpart

No

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

Authorized official

Name

Jill Gramer, DONPI 1447229224

Title

President

Phone

(817) 441-9769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Jill A Gramer, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1447229224
  Medicare reassignment NPD Authorized official
• Mary A Rather, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1982842217
  Medicare reassignment NPD
• Bianca Adrianna Agnello, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1275148793
  NPD
• Yung Chen, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1366411845
  NPD
• Miranda K Cheib, C-NP

  • Family Nurse Practitioner
  • Southlake, TX
  • NPI 1497553002
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1578884029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 AZLE AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352442",
            "telephone_number": "682-841-1056",
            "fax_number": "682-841-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 AZLE AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352442",
            "telephone_number": "682-841-1056",
            "fax_number": "682-841-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL GRAMER DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "GRAMER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-441-9769",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Jevas, PHD, ATC, LAT
• Heather Elizabeth Jewell, CRNA
• Jhamb Enterprises, Inc.
• Jhand Dental PLLC
• Nezar Alexander Jifi, DO
• Jabrill Omar Jimaale
• Christine McClary Jimenez, M.S. CCC-SLP
• Cristian Jimenez
• Kathryn Nicole Jimenez, PT, DPT
• Kristen Jimenez

• 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 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.