Fort Worth Vascular and Surgical Associates, PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

J6980 Issued in TX

Legal business name

FORT WORTH VASCULAR AND SURGICAL ASSOCIATES, PA

Practice address

2737 S Hulen St
Fort Worth, TX 76109-9535

Phone

(817) 332-7544

Fax

(817) 338-9441

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Martha E Providenza

Title

Administration

Phone

(817) 614-9552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Joseph E Guinn, MD

  • Vascular Surgery Physician
  • Fort Worth, TX
  • NPI 1073532958
  Medicare reassignment NPD

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1851668925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099535",
            "telephone_number": "817-927-5627",
            "fax_number": "817-927-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099535",
            "telephone_number": "817-332-7544",
            "fax_number": "817-338-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH VASCULAR AND SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "PROVIDENZA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "817-614-9552"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "J6980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Worth Surgical Center LP
• Fort Worth Surgicare Partners LTD
• Fort Worth Surgicare Partners, LTD
• Fort Worth Surgicare Partners, LTD.
• Fort Worth Therapy & Wellness, PLLC
• Fort Worth Vascular Specialists Corp
• Fort Worth VI Enterprises, LLC
• Fort Worth Vision
• Fort Worth Woman'S Clinic
• Fort Worth/Dallas Birthing Project

• Vascular Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.