Watauga Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G2993 Issued in TX

Legal business name

WATAUGA FAMILY PRACTICE PA

Doing business as

North Tarrant Family Practice

Practice address

5445 Basswood Blvd
Suite 650
Fort Worth, TX 76137-4437

Phone

(817) 485-0161

Fax

(817) 485-9430

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By 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. Robert Allan Hodgson, M.D.NPI 1437252459

Title

President

Phone

(817) 485-0161

Specialties & licenses 1

Addresses

Other names 1

• North Tarrant Family Practice Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Robert A Hodgson, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1437252459
  Authorized official Same address or phone
• Amy Lachelle Mitchell, FNP-BC

  • Family Nurse Practitioner
  • Keller, TX
  • NPI 1407485345
  NPD (past)
• Laura Carolyn Moore, FNP

  • Family Nurse Practitioner
  • Azle, TX
  • NPI 1326191701
  NPD (past)
• Scott Moulton, F.N.P., R.N., D.C.

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1710040761
  NPD (past)
• Chau Ngoc Tran, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1063570737
  NPD (past)
• Adeyemisi O Akinnawo

  • Adult Health Nurse Practitioner
  • Decatur, GA
  • NPI 1225860976
  NPD (past)
• Pardeep K Shori, DO

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1013010099
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740369073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 BASSWOOD BLVD",
            "address_2": "SUITE 650",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374437",
            "telephone_number": "817-485-0161",
            "fax_number": "817-485-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 BASSWOOD BLVD",
            "address_2": "SUITE 650",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374437",
            "telephone_number": "817-485-0161",
            "fax_number": "817-485-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-485-0161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G2993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Tarrant Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda Washington
• Ryan Wasilewski, DC
• Jacob O Wasonga, PH.D, LMFT
• Brian David Wasson, M.D.
• Lori Wasson, D.O.
• Isaac Aaron Watemberg, MD
• Donald Edward Watenpaugh, PH.D.
• Water Leaf Surgery Center Management LLC
• Watermark Broadway Cityview, LLC
• Antay Lane Waters, DNP, APRN, CNM, WHNP

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.