Fort Worth Personal Medicine, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

P9785 Issued in TX

Legal business name

FORT WORTH PERSONAL MEDICINE, PLLC

Practice address

4545 Bellaire Dr S
Suite 2
Fort Worth, TX 76109-1889

Phone

(682) 202-4585

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Daniel Ake, D.O.

Title

Ceo/Provider

Phone

(682) 202-4585

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5946/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1609220367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181055",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760961055",
            "telephone_number": "682-202-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 BELLAIRE DR S",
            "address_2": "SUITE 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091889",
            "telephone_number": "682-202-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH PERSONAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "AKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "682-202-4585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "P9785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Worth Pediatrics
• Fort Worth Pediatrics
• Fort Worth Pediatrics, P.a.
• Fort Worth Pediatrics, P.a.
• Fort Worth Perinatal Associates, P.a.
• Fort Worth Pharmacy LLC
• Fort Worth Physical Therapy PLLC
• Fort Worth Physicians PLLC
• Fort Worth Plastic Surgery Center
• Fort Worth Primary Care Providers

• Primary Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.