STRATEGIC MEDICAL GROUP TX PLLC
NPI 1578330908
Clinic/Center - Primary Care in Fort Worth, TX
NPI Status: Active since December 06, 2023
Contact Information
4400 OAK PARK LN
FORT WORTH, TX
ZIP 76109
Phone: (817) 438-1586
Fax: (817) 438-1617
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 45D1007778
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-29-2026
About STRATEGIC MEDICAL GROUP TX PLLC
This page provides the complete NPI Profile along with additional information for Strategic Medical Group Tx Pllc, a primary care provider established in Fort Worth, Texas operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1578330908 assigned on December 2023. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Strategic Medical Group Tx Pllc. The authorized official of this NPI record is Omar F Selod Md (Sole Owner)
- NPI
- 1578330908
- Provider Legal Name
- STRATEGIC MEDICAL GROUP TX PLLC
- Other Organization Name
- STRATEGIC MEDICAL GROUP TX PLLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 4400 OAK PARK LN FORT WORTH, TX 76109
- Location Phone
- (817) 438-1586
- Location Fax
- (817) 438-1617
- Mailing Address
- 7101 BRYANT IRVIN RD # 33292 FORT WORTH, TX 76132
- Mailing Phone
- (817) 721-3145
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-06-2023
- Last Update Date
- 12-06-2023
- Code Navigator
A primary care provider (PCP) like Strategic Medical Group Tx Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1007778
- Facility Type
- Physician Office
- Certificate Effective Date
- December 30, 2024
- Certificate Expiration Date
- December 29, 2026
- Laboratory Director
- WILLIAM BYRD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Strategic Medical Group Tx Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 5 | 7 | 8 | 3 | 3 | 0 | 9 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 6 | 3 | 0 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 6 + 3 + 0 + 9 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1578330908 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962522722 | MEDICAL EDGE HEALTHCARE GROUP PA Organization | Clinic/Center (Radiology) | 4400 OAK PARK LN FORT WORTH, TX 76109 (817) 207-9600 |
| 1528535556 | EMILY JAYNE HOOTEN BCBA, LBA Individual | Behavior Analyst | 4400 OAK PARK LN FORT WORTH, TX 76109 (469) 892-7500 |
| 1043387491 | MEDICAL EDGE HEALTHCARE GROUP PA Organization | Clinic/Center (Sleep Disorder Diagnostic) | 4400 OAK PARK LN FORT WORTH, TX 76109 (972) 506-7800 |
| 1407441876 | MRS. ALEXIS KATHRYN HONAN BCBA Individual | Behavior Analyst | 4400 OAK PARK LN FORT WORTH, TX 76109 (585) 802-5724 |
| 1124697602 | KELLY MCDANIEL CCC-SLP Individual | Speech-Language Pathologist | 4400 OAK PARK LN FORT WORTH, TX 76109 (469) 892-7500 |
| 1134799521 | SHEA ROLLINS MA, BCBA Individual | Behavior Analyst | 4400 OAK PARK LN FORT WORTH, TX 76109 (469) 892-7500 |
| 1962177725 | QUENTESSA MATTHEWS BCBA Individual | Behavior Analyst | 4400 OAK PARK LN FORT WORTH, TX 76109 (817) 369-3092 |
| 1265902456 | SARAH YOUSSEF OTR/L Individual | Occupational Therapist | 4400 OAK PARK LN FORT WORTH, TX 76109 (469) 892-7500 |
| 1740261114 | STUART CHARLES PICKELL MD Individual | Internal Medicine | 4400 OAK PARK LN FORT WORTH, TX 76109 (817) 985-7772 |
| 1871789891 | PALLAVI REDDY KAMJULA M.D. Individual | Internal Medicine | 4400 OAK PARK LN FORT WORTH, TX 76109 (817) 985-7772 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578330908, enumerated in the NPI registry as an "organization" on December 06, 2023
The provider is located at 4400 Oak Park Ln Fort Worth, Tx 76109 and the phone number is (817) 438-1586
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 45D1007778 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 06, 2023. 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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