FORTH WORTH SURGICAL ASSOCIATES PA
NPI 1679561641
Surgery in Fort Worth, TX
NPI Status: Active since October 12, 2005
Contact Information
6100 HARRIS PKWY
#390
FORT WORTH, TX
ZIP 76132
Phone: (817) 370-9011
Fax: (817) 346-0380
- Organization
- Surgery
About FORTH WORTH SURGICAL ASSOCIATES PA
This page provides the complete NPI Profile along with additional information for Forth Worth Surgical Associates Pa, a provider established in Fort Worth, Texas operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1679561641 assigned on October 2005. The practitioner's primary taxonomy code is 208600000X with license number G8340 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is William Robert Pettey Md (Owner)
- NPI
- 1679561641
- Provider Name
- FORTH WORTH SURGICAL ASSOCIATES PA
- Entity Type
- Organization
- Location Address
- 6100 HARRIS PKWY #390 FORT WORTH, TX 76132
- Location Phone
- (817) 370-9011
- Location Fax
- (817) 346-0380
- Mailing Address
- 6100 HARRIS PKWY #390 FORT WORTH, TX 76132
- Mailing Phone
- (817) 370-9011
- Mailing Fax
- (817) 346-0380
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2005
- Last Update Date
- 11-28-2007
- Code Navigator
A surgeon like Forth Worth Surgical Associates Pa treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G8340
- License State
- TX
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 91159 | OTHER (01) | AMERIGROUP | |
| C20472 | MEDICARE UPIN (02) | ||
| 4254295 | OTHER (01) | AETNA | |
| 00L60V | MEDICARE PIN (08) |
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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 | 6 | 7 | 9 | 5 | 6 | 1 | 6 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 10 | 6 | 2 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 0 + 6 + 2 + 6 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1679561641 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1851392401 | DR. FREDRIC DORHAUER JOHNSON MD Individual | Family Medicine | 6100 HARRIS PKWY SUITE 205 FORT WORTH, TX 76132 (817) 346-5266 |
| 1578564704 | DR. PETER L RUTLEDGE M.D. Individual | Surgery | 6100 HARRIS PKWY SUITE 270 FORT WORTH, TX 76132 (817) 433-5978 |
| 1043280910 | GREGORY WAYNE HANSON M.D. Individual | Internal Medicine | 6100 HARRIS PKWY SUITE 240 FORT WORTH, TX 76132 (817) 504-5699 |
| 1538111778 | DR. MITCHELL DEE BOWMAN MD Individual | Emergency Medicine | 6100 HARRIS PKWY FORT WORTH, TX 76132 (817) 433-1212 |
| 1720031552 | DR. ROBERT HARRY LILLI M. D. Individual | Family Medicine | 6100 HARRIS PKWY SUITE 340 FORT WORTH, TX 76132 (817) 433-5111 |
| 1619915139 | SCOTT MASON PRATHO M.D. Individual | Emergency Medicine | 6100 HARRIS PKWY FORT WORTH, TX 76132 (817) 570-8500 |
| 1578502456 | THOMAS R LUTON MD Individual | Emergency Medicine | 6100 HARRIS PKWY FORT WORTH, TX 76132 (817) 570-8500 |
| 1871536466 | DR. JOSEPH WICKER GRAY M.D. Individual | Specialist | 6100 HARRIS PKWY FORT WORTH, TX 76132 (817) 433-5540 |
| 1588608194 | DR. LANGSTON RAY RYAN MD Individual | Obstetrics & Gynecology | 6100 HARRIS PKWY #245 FORT WORTH, TX 76132 (817) 346-5336 |
| 1386688067 | MARLYS SPIKES CNM Individual | Advanced Practice Midwife | 6100 HARRIS PKWY #245 FORT WORTH, TX 76132 (817) 346-5336 |
| 1558305151 | DR. FREDERICK CARRINGTON MD Individual | Obstetrics & Gynecology | 6100 HARRIS PKWY #245 FORT WORTH, TX 76132 (817) 346-5336 |
| 1093759698 | DR. ROBERT MICHAEL HOWELL MD Individual | Obstetrics & Gynecology | 6100 HARRIS PKWY #245 FORT WORTH, TX 76132 (817) 346-5336 |
| 1235173915 | DR. STEVEN SUBA MD Individual | Obstetrics & Gynecology | 6100 HARRIS PKWY #140 FORT WORTH, TX 76132 (817) 346-5336 |
| 1548290026 | DR. RONALD SCOTT ANDERSON MD Individual | Anesthesiology | 6100 HARRIS PKWY HARRIS METHODIST SOUTHWEST HOSPITAL FORT WORTH, TX 76132 (817) 433-5000 |
| 1992722516 | HOWARD L SHAFFER MD Individual | Otolaryngology | 6100 HARRIS PKWY STE 350 FORT WORTH, TX 76132 (817) 433-5350 |
| 1982622668 | JAMES SCOTT BUIE M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 6100 HARRIS PKWY FORT WORTH, TX 76132 (817) 327-2672 |
| 1235152034 | SANG LING WU M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 6100 HARRIS PKWY FORT WORTH, TX 76132 (817) 433-2223 |
| 1447264908 | JOHN E STANILAND MD Individual | Family Medicine | 6100 HARRIS PKWY SUITE 340 FORT WORTH, TX 76132 (817) 433-5111 |
| 1316010507 | PENNY MARIE BROOKOVER GNP Individual | Nurse Practitioner (Gerontology) | 6100 HARRIS PKWY SUITE 250 FORT WORTH, TX 76132 (817) 263-8800 |
| 1225187727 | TARRANT WOMENS HEALTH MEDICAL GROUP, P.A. Organization | Obstetrics & Gynecology | 6100 HARRIS PKWY #140 FORT WORTH, TX 76132 (817) 346-5336 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679561641, enumerated in the NPI registry as an "organization" on October 12, 2005
The provider is located at 6100 Harris Pkwy #390 Fort Worth, Tx 76132 and the phone number is (817) 370-9011
This medical organization specializes in Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Amerigroup, Medicare, Medicaid and Aetna. 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 October 12, 2005. 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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