National Provider Identifier (NPI)
111 Boland St Ste 211, Ft Worth, TX 76107-1265
Overview
Precision Iom PLLC is a Electrodiagnostic Medicine Physician (organization) practicing in Ft Worth, Texas. The National Provider Identifier (NPI) is #1104383223, which was assigned on February 25, 2019, and the registration record was last updated on February 25, 2019. The practitioner's main practice location is at 111 Boland St Ste 211, Ft Worth, TX 76107-1265; the contact telephone number is 8175298488, and the fax number is 9033286568. The primary taxonomy of Precision Iom PLLC is Electrodiagnostic Medicine Physician (204R00000X). The authorized official for Precision Iom PLLC is Gina Sulllivan (Billing Manager).
Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.
Provider Information
| NPI | 1104383223 |
| Entity Type | Organization |
| Organization Name | PRECISION IOM PLLC |
| Provider Name | PRECISION IOM PLLC |
| Practice Address | 111 Boland St Ste 211 Ft Worth TX 76107-1265 |
| Practice Telephone | 8175298488 |
| Practice Fax Number | 9033286568 |
| Mailing Address | 111 Boland St Ste 211 Ft Worth TX 76107-1265 |
| Mailing Telephone | 8175298488 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Is Organization Subpart | N |
Authorized Official Information
| Official Name | GINA SULLLIVAN |
| Official Title | BILLING MANAGER |
| Telephone | 8175298488 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine | 193400000X SINGLE SPECIALTY GROUP |
Taxonomy Information
Primary Taxonomy
| Code | 204R00000X |
| Taxonomy | Electrodiagnostic Medicine Physician |
| Classification | Electrodiagnostic Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics. |
| Notes: Source: American Association of Neuromuscular & Electrodiagnostic Medicine, 2011. www.aanem.org [1/1/2011: new] Additional Resources: American Board of Electrodiagnostic Medicine, 2011. www.abemexam.org |
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Neuromonitoring Specialists, PLLC | 43422 W Oaks Dr Ste 430, Novi, MI 48377-3300 | Electrodiagnostic Medicine Physician | 2023-07-19 |
| Metroplex Neuromonitoring PLLC | 981 State Hwy 121, Allen, TX 75013 | Electrodiagnostic Medicine Physician | 2023-05-08 |
| Texoma Neurodiagnostics PLLC | 600 E Taylor St Ste 304, Sherman, TX 75090-2880 | Electrodiagnostic Medicine Physician | 2022-12-30 |
| Comprehensive Neuromonitoring LLC | 9002 Chimney Rock Rd # 156, Houston, TX 77096-2598 | Electrodiagnostic Medicine Physician | 2023-04-27 |
| Technos Iom PLLC | 8000 Eldorado Parkway, Building E, Suite B, Mckinney, TX 75070 | Electrodiagnostic Medicine Physician | 2023-03-10 |
| Villa Park Neurological Services, PLLC | 9301 N Central Expy Ste 400, Dallas, TX 75231-0805 | Electrodiagnostic Medicine Physician | 2023-03-01 |
| Sankofa Neuromonitoring PLLC | 3526 Lakeview Pkwy # B230, Rowlett, TX 75088-4176 | Electrodiagnostic Medicine Physician | 2023-08-10 |
| Mobile Digital Diagnostics, Inc | 10601 Walker St Fl 1, Cypress, CA 90630-4733 | Electrodiagnostic Medicine Physician | 2024-02-28 |
| Orthospine Monitoring 2 LLC | 1448 Park West Cir, Munster, IN 46321-3976 | Electrodiagnostic Medicine Physician | 2023-02-22 |
| Ionmn 2 PLLC | 7501 Lakeview Pkwy Ste 245, Rowlett, TX 75088-9326 | Electrodiagnostic Medicine Physician | 2023-12-18 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 111 BOLAND ST STE 211 |
| City | FT WORTH |
| State | TX |
| Zip Code | 76107-1265 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sonax Ionm LLC | 111 Boland St Ste 211, Ft Worth, TX 76107-1265 | Electrodiagnostic Medicine Physician | 2023-04-05 |
| Medsure Neuromonitoring LLC | 111 Boland St Ste 211, Ft Worth, TX 76107-1265 | Electrodiagnostic Medicine Physician | 2023-10-06 |
| Mas Monitoring LLC | 111 Boland St Ste 211, Ft Worth, TX 76107-1265 | Electrodiagnostic Medicine Physician | 2023-04-21 |
| Blue Ridge Neuromonitoring LLC | 111 Boland St Ste 211, Ft Worth, TX 76107-1265 | Electrodiagnostic Medicine Physician | 2023-06-15 |
| Vacquero Medical 1 Pa | 111 Boland St Ste 211, Ft Worth, TX 76107-1265 | Electrodiagnostic Medicine Physician | 2023-06-15 |
| Hetvi Mahida | 111 Boland St Ste 211, Fort Worth, TX 76107-1265 | EEG Specialist/Technologist | 2023-04-25 |
| Harold Robinson | 111 Boland St Ste 211, Fort Worth, TX 76107-1265 | Other Specialist/Technologist | 2023-04-25 |
| Ak Neuromonitoring Solutions LLC | 111 Boland St Ste 211, Ft Worth, TX 76107-1265 | Electrodiagnostic Medicine Physician | 2023-04-21 |
| Briana Levario | 111 Boland St Ste 211, Fort Worth, TX 76107-1265 | Other Specialist/Technologist | 2023-11-02 |
| Evolution Monitoring Services LLC | 111 Boland St Ste 211, Ft Worth, TX 76107-1265 | Electrodiagnostic Medicine Physician | 2023-04-07 |
| Find all providers in the same location | |||
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ranvier Iom PLLC | 111 Boland St #211, Ft Worth, TX 76107-1265 | Electrodiagnostic Medicine Physician | 2019-10-15 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Helen Williamson Elliott · Helen Marie Williamson | 1751 River Run #217, Fort Worth, TX 76107 | Mental Health Counselor | 2018-03-08 |
| Sydney Mccloskey | 4117 Mattison Ave., Fort Worth, TX 76107 | Physician Assistant | 2021-08-31 |
| Ryan Bourgeois | 2917 Crocket Street, Fort Worth, TX 76107 | Family Nurse Practitioner | 2020-08-31 |
| Athletico Ltd | 3316 Hulen Street, Fort Worth, TX 76107 | Physical Therapist | 2021-11-10 |
| Psn Fw Holdco, LLC | 975 Haskell Street, Fort Worth, TX 76107 | Ambulatory Surgical Clinic/Center | 2018-02-14 |
| Raymond Iannone | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | Pharmacist | 2019-11-21 |
| Graydon Douglas Wyatt | 2750 Horne Street, #120, Fort Worth, TX 76107 | General Practice Dentistry | 2017-06-27 |
| Dabney Poorter | 4927 Byers Avenue, Fort Worth, TX 76107 | Family Medicine Physician | 2023-05-31 |
| 3625 Camp Bowie Blvd, Fort Worth, TX 76107 | Orthopaedic Surgery Physician | 2023-01-31 | |
| Sachin P Patel | 4825 Wellesley St, Fort Worth, TX 76107 | Physical Therapist | 2018-09-07 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
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| Ezeanolue, Md, Precision Surgery Center of Las Vegas, PLLC | 1701 Bearden Dr, Suite 202, Las Vegas, NV 89106-4189 | Ambulatory Surgical Clinic/Center | 2015-01-27 |
| Precision Aba Therapy PLLC | 1042 Ne 179th Ter, North Miami Beach, FL 33162-1257 | Behavioral Analyst | 2022-02-22 |
| Precision Dental Tn, PLLC | 620 S James Campbell Blvd, Columbia, TN 38401-4788 | General Practice Dentistry | 2016-12-02 |
| Peak Precision PLLC | 1002 E Ingram St, Mesa, AZ 85203-2654 | Point of Service | 2023-04-25 |
| Precision Vision PLLC | 482 S Main St, Spanish Fork, UT 84660-2410 | Optometrist | 2014-02-04 |
| Precision Healing PLLC | 951 Suffield Ter, Northbrook, IL 60062-3013 | Podiatrist | 2022-02-17 |
| East Texas Precision Medicine, PLLC · Was Holdings, PLLC | 1600 S Washington Ave, Marshall, TX 75670-6852 | Adult Health Nurse Practitioner | 2014-08-07 |
| Precision Emg PLLC · Precision Electromyography, PLLC | 3225 W Gordon Ave, Layton, UT 84041-6508 | Physical Therapist | 2011-03-25 |
| Precision Podiatry PLLC | 1621 E Broomfield St Ste B, Mt Pleasant, MI 48858-5427 | Primary Podiatric Medicine Podiatrist | 2020-04-28 |
| Precision Anesthesia PLLC | 3119 Winding Shore Ln, Katy, TX 77450-5769 | Anesthesiology Physician | 2015-07-07 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
