FORT WORTH VA CBOC
NPI 1285687319
Clinic/Center - VA in Fort Worth, TX

NPI Status: Active since May 18, 2006

Contact Information

2201 SE LOOP 820
FORT WORTH, TX
ZIP 76119
Phone: (615) 355-3451

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  • Organization
  • Clinic/Center
  • VA
  • Accepts Insurance

About FORT WORTH VA CBOC

This page provides the complete NPI Profile along with additional information for Fort Worth Va Cboc, a provider established in Fort Worth, Texas operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1285687319 assigned on May 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is Fort Worth Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1285687319
Provider Legal Name
DALLAS VAMC
Other Organization Name
FORT WORTH VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2201 SE LOOP 820 FORT WORTH, TX 76119
Location Phone
(615) 355-3451
Mailing Address
PO BOX 94493 CLEVELAND, OH 44101
Mailing Phone
(615) 355-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2006
Last Update Date
09-08-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6000 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Bronze 8500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 1000 Indiv Med Deductible - HMO
  • Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 3250 Indiv Med Deductible - HMO
  • Connect Gold 3500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3000 Indiv Med Deductible - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

Reviews for FORT WORTH VA CBOC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285687319
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651281432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 1 + 4 + 3 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1285687319 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073708012MRS. LORI N NUEBEL LCSW
Individual
Social Worker2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0328
1831385798DR. ANISA RAJ PHARM. D
Individual
Pharmacist2201 SE LOOP 820 RM 1S-430
FORT WORTH, TX 76119
(817) 730-0143
1760768550DR. JOHN ZACHARY BROOKS AU.D.
Individual
Audiologist2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0179
1184657454DR. LATHA NAVARA MD
Individual
Family Medicine (Adult Medicine)2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0000
1699039081 DAVID OWEN PEACH AU.D.
Individual
Audiologist2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0179
1417293747 JANELLE KIDD-SPENCE PHARMD
Individual
Pharmacist2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0000
1740398064DR. SUNIL SURASANI REDDY M.D.
Individual
Internal Medicine2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0002
1982045332DEPARTMENT OF VETERANS AFFAIRS
Organization
Clinic/Center (Health Service)2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0145
1437554169 STACY SCHATZMAN
Individual
Occupational Therapist2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0219
1992897029DR. MELANIE A MILLER PSY.D.
Individual
Psychologist (Clinical)2201 SE LOOP 820
FT WORTH, TX 76119
(972) 333-9705
1245222629DR. DZUNG V LE D.O.
Individual
Internal Medicine2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0004
1215397773 EMILY CALLAWAY
Individual
Occupational Therapist2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 437-7160
1821421447 BRITTNEY C WRIGHT PHD
Individual
Psychologist2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0384
1225387848 STEPHEN S KIM PHARM.D.
Individual
Pharmacist2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0000
1073052510 PANYELL THOMAS LVN
Individual
Licensed Vocational Nurse2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 335-2202
1033253554DR. XUEHUI LIU M.D.
Individual
Internal Medicine2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0070
1033643077 CHRISTA HADSELL LMSW
Individual
Social Worker (Clinical)2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0321
1154765089DR. LORI ANA YAP M.D.
Individual
Physical Medicine & Rehabilitation2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 730-0000
1356515654DR. FOLUKE ADEOLA AKINYEMI M.D
Individual
Physical Medicine & Rehabilitation (Brain Injury Medicine)2201 SE LOOP 820
FORT WORTH, TX 76119
(817) 335-2202
1659846848 LUCY HAHN
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)2201 SE LOOP 820
FORT WORTH, TX 76119
(800) 443-9672

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285687319, enumerated in the NPI registry as an "organization" on May 18, 2006

The provider is located at 2201 Se Loop 820 Fort Worth, Tx 76119 and the phone number is (615) 355-3451

This medical organization specializes in Clinic/Center with taxonomy code 261QV0200X with a focus in VA

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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