F o rt Worth - Blue Cross Blue Shield Association · 2020-04-20 · F o rt Worth Welcome to Blue Choice PPO SM Use this directory to find the doctors, health care professionals and

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

Fort Worth

Welcome to Blue Choice PPOSM

Use this directory to find the doctors, health care professionals and hospitals that participate in the Blue Choice PPO network. The Blue Choice PPO participating providers are listed by category. This directory also includes information to help you manage your health care and use your benefits wisely.

This directory consists of Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise counties.

For other Blue Choice PPO participating providers not listed in this directory, call Customer Service at 1-800-521-2227 or you can go online to Provider Finder® at www.bcbstx.com for the most up-to-date list of Blue Choice PPO participating doctors and hospitals.

Using This Directory to Find a Blue Choice PPOSM Participating Provider

Each time you or a covered family member needs medical care, use this directory to find Blue Choice PPO participating providers, such as: • Doctors for routine and preventive care (check the listings for Primary Care Practitioners)• Hospitals• Specialists or other health care providers

Primary Care Practitioners are available for most routine and preventive care, while specialists generally practice only in the fields where they’re listed in this directory.

To provide corrections or updates to the provider information in this directory (such as the provider’s contract status or whether the provider is accepting new patients), please call Customer Service at 1-800-521-2227 (Monday through Friday from 8:00a.m. to 8:00 p.m. Central Time).

MORE INFORMATION IS JUST A CLICK AWAY We continue to update the Blue Choice PPOSM provider directory as changes occur. New doctors and providers contract to be in the network, others may change their office addresses and some leave the network. For the most up-to-date information, check Provider Finder® at www.bcbstx.com where you can find the doctor's, hospital's or other health care provider's address and phone number that you can send directly to your phone. In addition, there are maps for Primary Care Practitioners, specialists and hospitals to help locate them. Also, you can find the practice limitations, languages spoken, gender, professional affiliations and whether or not new patients are accepted. If you’re already a member and you’d rather speak with someone, call Customer Service at 1-800- 521-2227 (Monday through Friday from 8:00 a.m. to 8:00 p.m. Central Time).

IF YOU’RE THINKING ABOUT ENROLLING If you’re considering a health plan that uses the Blue Choice PPOSM network, read the following instructions to learn more about getting care from Blue Choice PPO participating doctors and providers. Then review the directory to find Blue Choice PPO participating providers in your area. Chances are the doctors and hospitals you want to use are in the network.

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Helping You Keep Healthy and Control Costs We offer coverage for preventive care services that can help you keep healthy and identify health problems at an early stage. Preventive care benefits include coverage for services such as physical exams, well-woman exams and immunizations.

When you become a member, we give you information and tools at www.bcbstx.com to help you manage your health and control costs. Get the latest in health information and tools through the Blue Access® for Members link.Improve your overall health, learn how to manage a chronic health condition or prepare for a specific medical procedure with easy-to-use health and wellness information, tips, quizzes and tools.

Behavioral Health Services

Participating behavioral health and chemical dependency professionals and physicians are also listed in this directory. However, before seeing a behavioral health professional or physician, you must preauthorize your care by calling 1-800-528-7264. Blue Cross and Blue Shield preauthorizes services and helps you select a participating behavioral health professional or physician.

Coverage Outside of Texas If you're out of state and need care, you and your covered family members can receive covered care almost anywhere in the country from Blue Cross and Blue Shield participating doctors and hospitals through the BlueCard Program.

To find a list of participating doctors and hospitals in the BlueCard program within the United States and around the world, go to the BlueCard Doctor and Hospital Finder at www.bcbs.com. If you are a member, you also can call our dedicated BlueCard line at 1-800-810-BLUE (2583) and speak with a BlueCard customer service representative.

What to Do in an Emergency In an emergency, call 911 or seek help from any doctor or hospital immediately. You’re covered no matter where you go. You, your doctor, the hospital or a family member must then call Blue Cross and Blue Shield of Texas at the number on your member ID card during the first 48 hours of the emergency visit.

To arrange for emergency behavioral health services and precertify behavioral health inpatient hospital treatment, call 1-800-528-7264. Blue Cross and Blue Shield of Texas is available 24 hours a day, seven days a week.

YOUR COVERAGE DEPENDS ON YOUR SPECIFIC PLAN Coverage for specific services will depend on your health care benefit program. Be sure to read your benefit booklet for detailed information about your health care benefit plan.

CONTROLLING COSTS Blue Cross and Blue Shield of Texas works to keep your doctor and hospital costs as low as possible. Our network representatives continue to build strong relationships with doctors and hospitals across the state, while negotiating the best rates possible for our members.

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Network Selection Criteria for Doctors and Hospitals

Network Selection Criteria for Doctors

Blue Cross and Blue Shield of Texas (BCBSTX) does not use quality measures, member experience measures or cost-related measures to select practitioners for participation in the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access Marketplace plans. BCBSTX evaluates the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access networks and takes into consideration the geographic distribution of medical and behavioral health providers to ensure that BCBSTX members have access to participating providers within federal and state availability and accessibility standards. BCBSTX ensures that our practitioner network includes primary care practitioners, behavioral health practitioners and specialists that treat the highest volume conditions to meet our members' needs, including Cardiology, Endocrinology, OB/GYN, Oncology and Orthopedics among others.

The behavioral health specialty types available in these BCBSTX networks include, Psychiatry (including Psychiatry, Child Adolescent Psychiatry and Geriatric Psychiatry), Clinical Psychology, Licensed Clinical Social Worker, Licensed Counselor (including Licensed Professional Clinical Counselor and Licensed Marriage and Family Therapist).

Network Selection Criteria for Hospitals

Blue Cross and Blue Shield of Texas (BCBSTX) does not use quality measures, member experience measures or cost-related measures to select hospitals for participation in the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access Marketplace plans. BCBSTX evaluates the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access networks and takes into consideration the geographic distribution of hospitals to ensure that BCBSTX members have access to participating hospitals within federal and state availability and accessibility standards.

TX Physician Extenders

Primary Care Practitioner or PCP means the participating practitioner, Physician Assistant or Advanced Practice Registered Nurse who primarily provides your health care. A PCP may be a family practitioner, internist, pediatrician, and/or Obstetrician/Gynecologist. The PA or APN must work under the supervision of a Participating family practitioner, internist, pediatrician and/or Obstetrician/Gynecologist in the same PPO network.

Providers Joining the Network or Location The dates located under the provider’s information indicate that the provider will be joining the network and/or location soon. Services provided may not be covered until the provider is active.

Providers Leaving the Network or Location The dates located under the provider’s information indicate that the provider will be leaving the network and/or location soon. Services provided after departure will be out-of- network.

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Medical/Surgical HospitalsMedical/Surgical hospitals are sorted alphabetically by city and name

Hospital Based ProvidersFacility-based PhysiciansHospital admissions may include services rendered by an anesthesiologist, pathologist, radiologist,emergency medicine physician or neonatologist. Blue Cross and Blue Shield of Texas makes everyeffort to contract with hospital based physicians that routinely provide services at BlueChoice networkfacilities.

The information provided is being made available to assist you in deciding which facility hascontracted hospital based physicians in an effort to minimize any out-of-pocket expenses you mayincur. Your out-of-pocket expenses will be greater if you utilize anesthesiologists, pathologists,radiologists, emergency medicine physicians and/or neonatologists that do not participate in theBlueChoice network.

To confirm the hospital you may choose includes anesthesiologists, pathologists, radiologists,emergency medicine physicians and neonatologists that participate in the BlueChoice network, referto this section.

AncillariesAcquired brain injury, ambulatory surgical centers, cardiac catheter labs, clinical & anatomicallaboratories, diabetes disease management, durable medical equipment, hearing aid suppliers, homehealth, home infusion therapy, hospice, imaging centers, prosthetics, orthotics & pedorthists, radiationtherapy centers, renal dialysis facilities, retail health clinics, skilled nursing facilities, sleep studycenters, subacute facilities, and urgent care centers sorted alphabetically by facility type, city andname

Freestanding Outpatient FacilitiesA Freestanding Outpatient Facility offers services diagnostic or surgical services in a non-hospitalbased setting.

Primary Care PractitionersPrimary care practitioners are sorted alphabetically by city, specialty and name

SpecialistsSpecialists are sorted alphabetically by city, specialty and name

Supervised and Sponsored ProvidersPhysician assistants, advanced practitioner nurses, certified nurse midwives and other supervisedand sponsored providers are sorted alphabetically by city, specialty and name

Behavioral Health FacilitiesBehavioral Health Facilities are sorted alphabetically by city and name

Behavioral Health PractitionersBehavioral Health Practitioners are sorted alphabetically by city, specialty and name

Practice Information AppendixPractice Information is sorted numerically

Index of Participating ProvidersPrimary care practitioners, specialists, behavioral health practitioners and supervised and sponsoredproviders are sorted alphabetically by last name

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18-88........................................................................................................................8-17..........................................................................................................................

1314-1376.....................................................................................

253-1313...............................................................................................................................................

1377-1378............................................................................................................

1379-1587..................................................................................................

110-111..................................................................................................

89-109....................................................................................................................................................

112-252..................................................................................................................

5-7.........................................................................................................................

1588-1592.....................................................................................................

1593-1682..................................................................................................

ARLINGTONBaylor Scott & WhiteOrthopedic and Spine HosNPI: 1346570710707 Highlander Blvd(972) 385-4299

ER Physicians:Facility uses in-network andout-of-network ER physiciansEncompass HealthRehabilitation HNPI: 1821062050

♿3200 Matlock Road(817) 468-4000

Greenhouse OutpatientCenterNPI: 11042127942301 Ave J(817) 649-3850

Innovations ChangesArlingtonNPI: 13668806274935 S Collins StSte 101(682) 320-2800

Kindred Hospital TarrantCounty Arlington CamNPI: 1174692156

♿1000 North Cooper Street(817) 548-3400

Medical City ArlingtonNPI: 1134172406

♿3301 Matlock Road(817) 465-3241

ER Physicians:Facility uses in-network andout-of-network ER physiciansMind Above Matter LLCNPI: 13265858031215 W Randol Mill Rd(817) 447-3001

Perimeter BehavioralHospital of ArlingtonNPI: 13468055207000 US 287 Hwy(817) 662-6341Joining Network orLocation:08/15/2020

Phoenix AssociatesCounseling SvcNPI: 1629320478801 Road To Six Flags WestSte 132(817) 795-3099

Texas Health ArlingtonMemorial HospitalNPI: 1174533343

♿800 West Randol Mill Road(817) 548-6100

ER Physicians:Facility uses out-of-networkER physiciansTexas Health Heart &Vascular Hospital ArlingNPI: 1407169196811 Wright St(817) 960-3500

ER Physicians:Facility uses out-of-networkER physiciansTexas RehabilitationHospitalNPI: 1962809541

♿900 W Arbrook Blvd(682) 304-6000

USMD Hospital at ArlingtonLPNPI: 1659352987

♿801 West Interstate 20(817) 472-3400

ER Physicians:Facility uses out-of-networkER physicians

AZLETexas Health HarrisMethodist Hospital AzleNPI: 1508899204

♿108 Denver Trail(817) 444-8600


BEDFORDEncompass HealthRehabilitation HNPI: 14273742222304 Hwy 121(817) 684-2001

Texas Health HarrisMethodist Hospital HurstNPI: 1629152939

♿1600 Hospital Parkway(817) 685-4000


BURLESONBaylor Scott & WhiteEmergency Hospital BurleNPI: 167990396712500 South FreewaySte 100(214) 294-6250

ER Physicians:Facility uses out-of-networkER physiciansTexas Health HuguleyHospital Fort Worth SoutNPI: 1033120423

♿11801 South Freeway(817) 293-9110


CLEBURNETexas Health HarrisMethodist Hospital CleburNPI: 1396778064

♿201 Walls Drive(817) 641-2551


COLLEYVILLEBaylor Scott & WhiteEmergency Hospital ColleNPI: 10436417495500 Colleyville Blvd(214) 294-6350


DECATURWise Health SystemNPI: 1124076401

♿2000 S FM 51(940) 627-5921


ELECTRAElectra Memorial HospitalNPI: 1871583153

♿1207 South Bailey St(940) 495-3981

ER Physicians:Facility uses in-network andout-of-network ER physicians

ENNISDiscovery Point RetreatNPI: 1699209916306 Log Cabin Rd(855) 385-7577

Ennis Regional MedicalCenterNPI: 1700805678

♿2201 West Lampasas(972) 875-0900


EULESSMind Above Matter LLCNPI: 10336814811100 Raider Dr(817) 447-3001

FORT WORTHArise Recovery Centers ofAmericaNPI: 16295802876115 Camp Bowie BlvdSte 220(214) 273-1811

Baylor Scott & White AllSaints Medical CenteNPI: 1669472387

♿1400 Eighth Ave(817) 926-2544

ER Physicians:Facility uses in-network andout-of-network ER physiciansBaylor Scott & WhiteInstitute FoNPI: 13969025406601 Harris Pkwy(817) 433-9600

Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.


07/02/2020 ARLINGTON

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♿This Location is Handicap Accessible.

FORT WORTH(continued)

Baylor Scott & WhiteSurgical Hospital Fort WNPI: 18715991831800 Park Place Ave(817) 334-5050

ER Physicians:Facility uses in-network andout-of-network ER physiciansClearfork Academy LPNPI: 15588185347820 Hanger Cutoff(817) 714-1311

Cook Childrens MedicalCenterNPI: 1891765178

♿801 Seventh Avenue(682) 885-4000

ER Physicians:Facility uses in-network andout-of-network ER physiciansEating Recovery CenterFort WorthNPI: 14174467094200 S Hulen StreetSte 436(877) 825-8584

Encompass HealthRehabilitation HNPI: 1699749341

♿6701 Oakmont Blvd(817) 370-4700

Fort Behavioral HealthNPI: 10033054187140 Oakmont Blvd(817) 678-7428

Fort Worth BirthingWellness CtrNPI: 1538596325622 Hemphill St(817) 878-2737

Grace Counseling CenterNPI: 18910442287535 Oakmont BlvdSte 101(800) 972-0643

John Peter Smith HospitalNPI: 1992753222

♿1500 S Main(817) 921-3431


Kindred Hospital TarrantCounty Fort Worth SoNPI: 1659440634

♿7800 Oakmont Boulevard(817) 346-0094

LifeCare Hospitals of FortWorthNPI: 1841224060

♿6201 Overton Ridge Blvd(817) 370-6078

Medical City AllianceNPI: 18719110163101 North Tarrant Pkwy(817) 639-1115

ER Physicians:Facility uses in-network andout-of-network ER physiciansMedical City Fort WorthNPI: 1659323772

♿900 Eighth Ave(817) 336-2100

ER Physicians:Facility uses in-network andout-of-network ER physiciansMind Above Matter LLCNPI: 18013144898900 Chapin Rd(817) 447-3001

Mind Above Matter LLCNPI: 18913485461101 Nashville Ave(817) 447-3007

North Texas AddictionCounseling & EducationNPI: 12858015893539 NW Jim Wright Fwy(682) 224-1441Joining Network orLocation:08/15/2020

Phoenix AssociatesCounseling SvcNPI: 19828362503001 West 5th StreetSte A(817) 338-0311

Texas Health HarrisMethodist Hospital AllianNPI: 121529688410864 Texas Health Trail(682) 212-2000


Texas Health HarrisMethodist Hospital Fort WNPI: 1710061023

♿1301 Pennsylvania Ave(817) 250-2000

ER Physicians:Facility uses out-of-networkER physiciansTexas Health HarrisMethodist Hospital SouthwNPI: 1417980202

♿6100 Harris Parkway(817) 346-5000

ER Physicians:Facility uses out-of-networkER physiciansTexas Health SpecialtyHospitalNPI: 1730278417

♿1301 Pennsylvania Ave 4 Fl(817) 250-5500

TX Rehabilitation Hosp FortWorthNPI: 1659688331

♿425 Alabama Ave(817) 820-3400

Wise Health SurgicalHospitalNPI: 14072295293200 North Tarrant Parkway(817) 502-7300


GAINESVILLENorth Texas Medical CenterNPI: 1922009331

♿1900 Hospital Blvd(940) 665-1751


GLEN ROSEGlen Rose Medical CenterNPI: 1700826575

♿1021 Holden Street(254) 897-2215


GRANBURYLake Granbury MedicalCenterNPI: 1114998911

♿1310 Paluxy Rd(817) 573-2273


GRAND PRAIRIEBaylor Emergency MedicalCenterNPI: 18316295263095 Kingswood BlvdSte 100(972) 854-0009

ER Physicians:Facility uses out-of-networkER physiciansThe GreenhouseNPI: 10637860691171 107th St(817) 640-4000

GRAPEVINEBaylor Scott & WhiteMedical Center GrapevineNPI: 1073511762

♿1650 West College Street(817) 481-1588

ER Physicians:Facility uses in-network andout-of-network ER physiciansMind Above Matter LLCNPI: 19620622653050 Timberline Dr(817) 447-3001

Sagecrest HospitalGrapevineNPI: 16999768524201 William D Tate(817) 288-1300

HENRIETTAClay County MemorialHospitalNPI: 1437156361

♿310 West South Street(940) 538-5621




FORT WORTH 07/02/2020

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HURSTSaint Camillus MedicalCenterNPI: 17507493131612 Hurst Town CenterDrive(817) 519-3700


KELLERBaylor Scott & WhiteEmergency Hospital KelleNPI: 1689002651620 S Main St(214) 294-6100


MANSFIELDBaylor Scott & WhiteEmergency Hospital MansfNPI: 15981962061776 N US 287Ste 100(214) 294-6300

ER Physicians:Facility uses out-of-networkER physiciansKindred Hospital MansfieldNPI: 1922177997

♿1802 Hwy 157 North(817) 473-6101

Methodist MansfieldMedical CenterNPI: 16896299412700 E Broad St(682) 622-2000

ER Physicians:Facility uses out-of-networkER physiciansRiverwalk Ranch LLCNPI: 17407711956960 Dick Price Rd(817) 720-9520

Texas Health Recovery andWellnesNPI: 1902340268240 N Miller Rd(682) 812-6150

Texas Health Recovery andWellness CenterNPI: 1902340268240 N Miller Rd(682) 812-6150

MUENSTERMuenster MemorialHospitalNPI: 1699770149

♿605 North Maple Street(940) 759-2271


N RICHLAND HILLSMedical City North HillsNPI: 1518911833

♿4401 Booth Calloway Road(817) 284-1431


NOCONANocona General HospitalNPI: 1689655912

♿100 Park Road(940) 825-3235


SEYMOURSeymour HospitalNPI: 1194893263

♿200 Stadium Drive(940) 889-5572


SOUTHLAKEArise Recovery Centers ofAmericaNPI: 15588838762535 E Southlake BlvdSte 200(214) 273-1811

Methodist SouthlakeHospitalNPI: 1568818417421 East St Highway 114(817) 865-4400

ER Physicians:Facility uses out-of-networkER physiciansTexas Health HarrisMethodist Hospital SouthlNPI: 16290649281545 East Southlake Blvd(817) 481-7111


VERNONWilbarger General HospitalNPI: 1316931835

♿920 Hillcrest Drive(940) 552-9351


WAXAHACHIEBaylor Medical CenterWaxahachieNPI: 1265430177

♿2400 N IH 35 E(469) 843-4000

ER Physicians:Facility uses in-network andout-of-network ER physiciansCasa Colina AddictionTreatment CNPI: 12457887281041 Rutherford Rd(972) 449-2000

Discovery Point Retreat IncNPI: 1699209916530 Hight Rd(855) 409-3232

WEATHERFORDMedical City WeatherfordNPI: 1417471467713 E Anderson St(682) 582-1000


Weatherford RehabilitationHospitNPI: 1558758490703 Eureka St(682) 803-0100

WICHITA FALLSEncompass HealthRehabilitation HNPI: 1689648339

♿3901 Armory Road(940) 720-5700

Kell West RegionalHospital LLCNPI: 1669480323

♿5420 Kell West Blvd(940) 692-5888

ER Physicians:Facility uses out-of-networkER physiciansKpc Promise Hospital ofWichita Falls LLCNPI: 1346671849

♿1103 Grace St(940) 720-6633

United Regional HealthCare System IncNPI: 1023013448

♿1600 11th Street(940) 764-7000




07/02/2020 HURST

7


City Hospital / Facility Name Specialty% Dollars

Billed Out Of Network *

Network Status Providers

ARLINGTON

BAYLOR SCOTT & WHITE

ORTHOPEDIC AND SPINE HOSPITAL

Anesthesiology 0% IN NETWORKARLINGTON ORTHOPEDIC ASSOCIATES

GREATER HOUSTON ANESTHESIOLOGY PAEmergency Room 3% IN NETWORK RUSH CREEK EMERGENCY PHYSICIANS

Neonatology SERVICE NOT AVAILABLE

Pathology SERVICE NOT AVAILABLE

Radiology 0% IN NETWORK AMERICAN RADIOLOGY CONSULTANTS

MEDICAL CITY ARLINGTON

Anesthesiology 3% IN NETWORK METROPOLITAN ANES CONSULTANTS LLP

Emergency Room 1%IN NETWORK QUESTCARE MEDICAL SERVICES PLLC

OUT OF NETWORK QUESTCARE MEDICAL SERVICES PLLC

Neonatology 0% IN NETWORK SHERIDAN HEALTHCARE OF TX PA

Pathology 0% IN NETWORK DFW 501 A CORPORATION

Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA

TEXAS RADIOLOGY ASSOCIATES LLP

TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL

Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

Emergency Room 83% OUT OF NETWORK TEXAS MEDICINE RESOURCES LLP


Pathology 0% IN NETWORK ARLINGTON PATHOLOGY ASSOC 501A

Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

TEXAS HEALTH HEART &

VASCULAR HOSPITAL

ARLINGTON




Pathology 0% IN NETWORK ARLINGTON PATHOLOGY ASSOC 501A


USMD HOSPITAL AT

ARLINGTON LP


Emergency Room 96% OUT OF NETWORK BURBOT EMERGENCY PHYSICIANS PLLC


Pathology 0% IN NETWORKARLINGTON PATHOLOGY ASSOC 501A

DFW 501 A CORPORATIONRadiology 1% IN NETWORK SINGLETON ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 3/1/2019 - 2/29/2020

Current as of June 2020

Fort Worth Texas Hospital Based Physicians

Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

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AZLE

TEXAS HEALTH HARRIS

METHODIST HOSPITAL AZLE

Anesthesiology 0% IN NETWORK NORTHSTAR ANESTHESIA PA



Pathology 0% IN NETWORK AMERIPATH LUBBOCK 501A CORP


BEDFORD

TEXAS HEALTH HARRIS

METHODIST HOSPITAL

HURST EULESS BEDFORD



Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK PROPATH ASSOCIATES PLLC

Radiology 0% IN NETWORK TEXAS RADIOLOGY ASSOCIATES LLP

BURLESON


EMERGENCY HOSPITAL BURLESON

Anesthesiology SERVICE NOT AVAILABLE

Emergency Room 99% OUT OF NETWORK 24 HOUR PHYSICIANS INC



Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

TEXAS HEALTH HUGULEY

HOSPITAL FORT WORTH SOUTH

Anesthesiology 1% IN NETWORK NORTHSTAR ANESTHESIA II PA

Emergency Room 99% OUT OF NETWORK HUGULEY EMERGENCY PHYSICIANS


Pathology 0% IN NETWORK TEXAS PATHOLOGY CONSULTANTS PA


CLEBURNE

TEXAS HEALTH HARRIS

METHODIST HOSPITAL CLEBURNE




Pathology 0% IN NETWORK CLEBURNE PATHOLOGY PA


COLLEYVILLE


EMERGENCY HOSPITAL

COLLEYVILLE













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DECATUR WISE HEALTH SYSTEM

Anesthesiology 22%IN NETWORK

PREMIER ANESTHESIA OF HUNTSVILLERICHARD L VERA MD PA

OUT OF NETWORK ASPEN ANESTHESIA MANAGEMENT LLC

Emergency Room 98% OUT OF NETWORK WISE EMERGENCY MEDICINE ASSOCS



Radiology 0% IN NETWORKNORTH TEXAS RADIOLOGY PLLC


ELECTRAELECTRA

MEMORIAL HOSPITAL

Anesthesiology INSUFFICIENT CLAIMS DATA

Emergency Room 21%IN NETWORK

CONCORD MEDICAL GROUP PLLCTITANIUM EMERGENCY GROUP LLP

OUT OF NETWORK CONCORD MEDICAL GROUP OF TX PLLC


Pathology 0% IN NETWORK PATHOLOGY ASSOCIATES OF NORTH TX


ENNIS

ENNIS REGIONAL MEDICAL CENTER

Anesthesiology 97% OUT OF NETWORK STRATUS DOMINION ANESTHESIA ASSOC

Emergency Room 98% OUT OF NETWORK BUFFALO CLOVER EMERG PHYSICIANS


Pathology 0% IN NETWORK LAB DIRECT LLC


FORT WORTH

BAYLOR SCOTT & WHITE ALL

SAINTS MEDICAL

CENTER FORT WORTH

Anesthesiology0% IN NETWORK NORTHSTAR ANESTHESIA II PA

0% IN NETWORK NORTHSTAR ANESTHESIA II PA

Emergency Room6% IN NETWORK CENTURY INTEGRATED PARTNERS INC

14% IN NETWORK CENTURY INTEGRATED PARTNERS INC

NeonatologyINSUFFICIENT CLAIMS DATA

0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK TARRANT PATHOLOGY ASSOCIATES









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FORT WORTH

BAYLOR SCOTT & WHITE SURGICAL

HOSPITAL FORT WORTH

Anesthesiology 12% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

NOBLE ANESTHESIA PARTNERS PLLCEmergency Room 1% IN NETWORK STOCKYARD EMERGENCY PHYSICIANS


Pathology 0% IN NETWORK TARRANT PATHOLOGY ASSOCIATES


COOK CHILDRENS MEDICAL CENTER

Anesthesiology 0% IN NETWORK COOK CHILDRENS PHYSICIAN NETWORK

Emergency Room 4% IN NETWORK COOK CHILDRENS PHYSICIAN NETWORK

Neonatology 1% IN NETWORKCOOK CHILDRENS PHYSICIAN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

Pathology 0% IN NETWORK COOK CHILDRENS PHYSICIAN NETWORK


JOHN PETER SMITH

HOSPITAL

Anesthesiology 10% IN NETWORK SHERIDAN HEALTHCARE OF N TEXAS PA

Emergency Room 96% OUT OF NETWORK INTEGRATIVE EMERG SVCS PHYS GRP




MEDICAL CITY ALLIANCE




Neonatology 0% IN NETWORK SHERIDAN HEALTHCARE OF TX PA


Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA


MEDICAL CITY FORT WORTH














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FORT WORTH

TEXAS HEALTH HARRIS

METHODIST HOSPITAL ALLIANCE






TEXAS HEALTH HARRIS

METHODIST HOSPITAL FORT

WORTH






TEXAS HEALTH HARRIS

METHODIST HOSPITAL

SOUTHWEST FORT WORTH






WISE HEALTH SURGICAL HOSPITAL

Anesthesiology 6% IN NETWORK PREMIER ANESTHESIA OF HUNTSVILLE

Emergency Room 96% OUT OF NETWORK SYNERGY EMERGENCY CONSULTANTS

Neonatology INSUFFICIENT CLAIMS DATA

Pathology 0% IN NETWORK

AFFILIATED PATHOLOGISTS PADFW 501 A CORPORATION

NORTH DALLAS PATHOLOGY SERVICES PAPATHOLOGISTS BIO MEDICAL LAB

Radiology 0% IN NETWORKNORTH TEXAS RADIOLOGY PLLC


GAINESVILLENORTH TEXAS

MEDICAL CENTER


Emergency Room SERVICE NOT AVAILABLE


Pathology 0% IN NETWORK USA PATHOLOGY PLLC

Radiology 0% IN NETWORK SHERMAN RADIOLOGY ASSOCIATES








12




GLEN ROSEGLEN ROSE MEDICAL CENTER

Anesthesiology 59%IN NETWORK EDWARD SHIN MDPA

OUT OF NETWORK SUPERIOR ANESTHESIA MANAGEMENT

Emergency Room 98% OUT OF NETWORK FOSSIL RIM EMERGENCY PHYSICIANS


Pathology 0% IN NETWORK CLINICAL PATHOLOGY ASSOCIATES

Radiology 0% IN NETWORK HIGH PLAINS RADIOLOGICAL ASSN LLP

GRANBURY

LAKE GRANBURY

MEDICAL CENTER

Anesthesiology 6% IN NETWORKEMERGENCHEALTH LLCHOOD MEDICAL GROUPLAKESIDE PHYSICIANS

Emergency Room 95% OUT OF NETWORK APPTEXASED PLLC



Radiology 0% IN NETWORKRADIOLOGY ASSOCIATES OF NORTH TX

ROSE IMAGING SPECIALIST PA

GRAND PRAIRIE

BAYLOR EMERGENCY

MEDICAL CENTER




Pathology 0% IN NETWORK

DFW 501 A CORPORATIONIRVING LABORATORIES PA

LABORATORY PHYSICIANS ASSNPATHOLOGISTS BIO MEDICAL LAB


GRAPEVINE

BAYLOR SCOTT & WHITE MEDICAL CENTER

GRAPEVINE


Emergency Room 3% IN NETWORK CENTURY INTEGRATED PARTNERS INC


Pathology 0% IN NETWORK PATHOLOGISTS BIO MEDICAL LAB


HENRIETTACLAY COUNTY

MEMORIAL HOSPITAL


Emergency Room 0% IN NETWORKCONCORD MEDICAL GROUP PLLC

TITANIUM EMERGENCY GROUP LLPNeonatology INSUFFICIENT CLAIMS DATA








13




HENRIETTACLAY COUNTY

MEMORIAL HOSPITAL


Radiology 37%IN NETWORK

NIGHTRAYS PARADIOLOGY ASSOCS OF WICHITA FALLS

OUT OF NETWORK F AND S RADIOLOGY PC

HURST

SAINT CAMILLUS MEDICAL CENTER

Anesthesiology 10% IN NETWORK ANESTHESIA ALLIANCE OF DALLAS PA

Emergency Room INSUFFICIENT CLAIMS DATA




KELLER


EMERGENCY HOSPITAL

KELLER





Radiology SERVICE NOT AVAILABLE

MANSFIELD


EMERGENCY HOSPITAL

MANSFIELD





Radiology SERVICE NOT AVAILABLE

METHODIST MANSFIELD

MEDICAL CENTER


Emergency Room 91% OUT OF NETWORK TEXAS PHYSICIAN RESOURCES LLP


Pathology 0% IN NETWORK LABORATORY PHYSICIANS ASSN


MUENSTERMUENSTER MEMORIAL HOSPITAL

Anesthesiology 0%IN NETWORK SLEEP STUDY OF TEXAS

OUT OF NETWORK MUENSTER HOSPITAL DISTRICT


MMH FAMILY HEALTH CLINICQUESTCARE MEDICAL SERVICES PLLC

OUT OF NETWORK CONCORD NORTH TEXAS PLLC









14




MUENSTERMUENSTER MEMORIAL HOSPITAL

Pathology 0% IN NETWORKAFFILIATED PATHOLOGISTS PA

AVERO DIAGNOSTICSNORTH DALLAS PATHOLOGY SERVICES PA

Radiology 0% IN NETWORK ARIS TELERADIOLOGY PRO CORP

N RICHLAND HILLS MEDICAL CITY NORTH HILLS

Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

VALIANT ANESTHESIA ASSOCIATES PLL






NOCONANOCONA GENERAL HOSPITAL

Anesthesiology 29% IN NETWORK NOCONA GENERAL HOSPITAL

Emergency Room 2% IN NETWORK NOCONA GENERAL HOSPITAL


Pathology 0% IN NETWORKAFFILIATED PATHOLOGISTS PA

PATHOLOGISTS BIO MEDICAL LABPATHOLOGY ASSOCIATES OF NORTH TX


SEYMOUR SEYMOUR HOSPITAL

Anesthesiology 0% IN NETWORK BAYLOR COUNTY HOSPITAL DISTRICT


COOK CHILDRENS PHYSICIAN NETWORKTITANIUM EMERGENCY GROUP LLP

OUT OF NETWORKFALCON EMERGENCY PHYSICIANS PLLC

LUCY PARK EMERGENCY PHYSICIANSNeonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKPATHOLOGY ASSOCIATES OF NORTH TX

STRATE, SUSAN M, MDRadiology 0% IN NETWORK RADIOLOGY ASSOCS OF WICHITA FALLS

SOUTHLAKEMETHODIST SOUTHLAKE

HOSPITAL


Emergency Room 95% OUT OF NETWORK LIVE OAK EMERGENCY PHYSICIANS










15




SOUTHLAKE

METHODIST SOUTHLAKE

HOSPITALRadiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

TEXAS HEALTH HARRIS

METHODIST HOSPITAL

SOUTHLAKE

Anesthesiology 39%IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

OUT OF NETWORK TARRANT SEDATION SERVICES PLLC

Emergency Room 96% OUT OF NETWORK SOUTHLAKE EMERGICARE PLLC




VERNONWILBARGER

GENERAL HOSPITAL

Anesthesiology 0% IN NETWORK YOUNGS PROFESSIONAL SERVICES LLC

Emergency Room 97% OUT OF NETWORK CONCORD MEDICAL GROUP OF TX PLLC




WAXAHACHIE

BAYLOR MEDICAL CENTER

WAXAHACHIE

Anesthesiology 5% IN NETWORKNTX ANESTHESIOLOGY CONSULTANTS PLWAXAHACHIE ANES CONSULTANT SVCS

Emergency Room 2% IN NETWORK CENTURY INTEGRATED PARTNERS INC




WEATHERFORD MEDICAL CITY WEATHERFORD

Anesthesiology 0% IN NETWORK WEATHERFORD ANESTHESIA ASSOCIATES

Emergency Room 2% IN NETWORK QUESTCARE MEDICAL SERVICES PLLC



Radiology 0% IN NETWORKRADIOLOGY ASSOCIATES OF NORTH TX

ROSE IMAGING SPECIALIST PA

WICHITA FALLSKELL WEST REGIONAL

HOSPITAL LLC

Anesthesiology 0% IN NETWORK YOUNGS PROFESSIONAL SERVICES LLC

Emergency Room 97% OUT OF NETWORK LUCY PARK EMERGENCY PHYSICIANS


Pathology 0% IN NETWORK STRATE, SUSAN M, MD

Radiology 0% IN NETWORK RADIOLOGY ASSOCS OF WICHITA FALLS








16




WICHITA FALLS

UNITED REGIONAL

HEALTH CARE SYSTEM INC

Anesthesiology 4% IN NETWORKSTAR ANESTHESIA PA

WICHITA FALLS ANESTHESIA PLLCEmergency Room 2% IN NETWORK TITANIUM EMERGENCY GROUP LLP



Radiology 0% IN NETWORK RADIOLOGY ASSOCS OF WICHITA FALLS








17

CLAY COUNTYMEMORIALHOSPITAL

RADIOLOGYu Perez Young, Irene V MDGender: FemaleNPI: 1760462162

4216 Bearclaw CircleAledo, TX 76008(303) 933-8270

B S & WORTHOPEDIC &SPINE HOS

ANESTHESIOLOGYShenoy, Smitha V MDGender: FemaleNPI: 1598971418

4707 Highlander BlvdArlington, TX 76015(817) 583-7100Stetler, Jacob B DOGender: MaleNPI: 1124386164

4707 Highlander BlvdArlington, TX 76015(972) 715-5000

EMERGENCY MEDICINEChoi, David J MDGender: MaleNPI: 1376692285

4707 Highlander BlvdArlington, TX 76015(817) 583-7010Gogu, Sujan DOGender: MaleNPI: 1407268162

4707 Highlander BlvdArlington, TX 76015(817) 583-7010Guevara, Esequiel C MDGender: MaleNPI: 1205851102


Hitchcock, Robert J MDGender: MaleNPI: 1952343139

4707 Highlander BlvdArlington, TX 76015(817) 583-7010Schneider, Cary N DOGender: MaleNPI: 1285855163

4707 Highlander BlvdArlington, TX 76015(817) 583-7010Urso, Richard S MDGender: MaleNPI: 1548240898


B S & W SURGICAREMANSFIELD

ANESTHESIOLOGYu Berlin, Scott A MDGender: MaleNPI: 19523887531001 Waldrop DrSte 403Arlington, TX 76012(817) 468-4343800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343

u Cottingham, Andrew J MDGender: MaleNPI: 1003893819

4800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343

BAYLOR MEDICALCENTERWAXAHACHIE

GENERAL SURGERYGraham, Andre MDGender: MaleNPI: 1376525253

43500 W Wheatland RdArlington, TX 76012(214) 947-5704

BS&W ALL SAINTSMED CTR FT WORTH

ANESTHESIOLOGYu Eichenholz, Philip W MDGender: MaleNPI: 1427037084

42000 E Lamar BlvdSte 400Arlington, TX 76006(682) 227-6849

GENERAL SURGERYu Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

RADIOLOGYAmosson, Chad M MDGender: MaleNPI: 1790786879902 W Randol MillSte 150Arlington, TX 76012(817) 664-9600515 W Mayfield RdSte 101Arlington, TX 76014(817) 467-6092Cavey, Matthew L MDGender: MaleNPI: 1720031263811 W I20 Ste G14Arlington, TX 76017(817) 759-7000

u Fitzsimons, John P MDGender: MaleNPI: 17806132401017 W Randol Mill RdSte AArlington, TX 76012(682) 712-1256

BS&W MEDICALCENTER GRAPEVINE

ANESTHESIOLOGYu Hillebrand, John A MDGender: MaleNPI: 1659328680

4811 Wright StArlington, TX 76012(972) 715-5000

GENERAL SURGERYLele, Himalaya E MDGender: MaleNPI: 1962407007515 West MayfieldSte 311Arlington, TX 76014(817) 468-3471

u Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

RADIOLOGYAmosson, Chad M MDGender: MaleNPI: 1790786879902 W Randol MillSte 150Arlington, TX 76012(817) 664-9600515 W Mayfield RdSte 101Arlington, TX 76014(817) 467-6092

u Hagman, Joseph E MDGender: MaleNPI: 12250950374000 Five Points BlvdSte 133Arlington, TX 76018(817) 522-7070

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.


ALEDO 07/02/2020

18

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

BS&W SURGICALHOSPITAL FORTWORTH

EMERGENCY MEDICINEGuevara, Esequiel C MDGender: MaleNPI: 1205851102


COOK CHILDRENSMEDICAL CENTER

NEONATAL-PERINATALMEDICINETurner, Richard DOGender: MaleNPI: 1033171764800 W Randol Mill RdArlington, TX 76012(817) 960-6100

ENCOMPASSHEALTHREHABILITATION H

ANESTHESIOLOGYu Phillips, Michael S MDGender: MaleNPI: 1306823927800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343Sardar, Winfred A MDGender: MaleNPI: 1952362824

4501 Rita Ln Ste 101Arlington, TX 76014(817) 419-9048

ENNIS REGIONALMEDICAL CENTER

GENERAL SURGERYGraham, Andre MDGender: MaleNPI: 1376525253

43500 W Wheatland RdArlington, TX 76012(214) 947-5704

GLEN ROSEMEDICAL CENTER

ANESTHESIOLOGYu Blanchard, Lawrence D

MDGender: MaleNPI: 1427101906

43408 Shorewood CTArlington, TX 76016(817) 470-4128

u Hockert, Pamela MDGender: FemaleNPI: 1780813600


u Tseng, Alex Y DOGender: MaleNPI: 1457317125

43408 Sharewood CTArlington, TX 76016(972) 223-9600

u Vadher, Bharat N MDGender: MaleNPI: 1922015064


JOHN PETER SMITHHOSPITAL

ANESTHESIOLOGYu Arnold, John MDGender: MaleNPI: 1043263270

4440 New York AveArlington, TX 76010(817) 927-4125Mathews, Manu MDGender: MaleNPI: 13464577514400 New York AveArlington, TX 76018(817) 702-8500Merchant, Munir S MDGender: MaleNPI: 11048603944400 New York AveArlington, TX 76018(817) 702-8500

u Subramanian, Joysree MDGender: FemaleNPI: 12159439496407 S Cooper St Ste 117Arlington, TX 76001(817) 472-7601Wu, Liancun MDGender: MaleNPI: 1649270109

4440 New York AvenueArlington, TX 76010(817) 920-6864

NEONATAL-PERINATALMEDICINELucena, Jose E MDGender: MaleNPI: 13361295011050 W Arkansas LnSte 150Arlington, TX 76013(817) 702-8400

RADIOLOGYCavey, Matthew L MDGender: MaleNPI: 1720031263811 W I20 Ste G14Arlington, TX 76017(817) 759-7000

KINDRED HOSPITALTARRANT COUNTYARLINGTONCAMPUS

EMERGENCY MEDICINEChoi, David J MDGender: MaleNPI: 1376692285



MEDICAL CITYALLIANCE


MEDICAL CITYARLINGTON

ANESTHESIOLOGYu Graybill, David B DOGender: MaleNPI: 11947539966702 Poly Webb RdDFW Medical CenterArlington, TX 76016(817) 478-0095Poku, Joseph K MDGender: MaleNPI: 1558789065

43301 Matlock RdArlington, TX 76015(240) 566-1639

u Stout, Bryce L MDGender: MaleNPI: 1740237569





19


MEDICAL CITYARLINGTON(continued)

EMERGENCY MEDICINEMcDonald, Carolyn E MDGender: FemaleNPI: 1891957924

43301 Matlock RdArlington, TX 76015(972) 204-5293Quayson, Esi MDGender: FemaleNPI: 1699033043

43301 Matlock RdArlington, TX 76015(214) 217-1911Urso, Richard S MDGender: MaleNPI: 1548240898


GENERAL SURGERYu Carter, Richard A DOGender: MaleNPI: 1346331444515 W Mayfield RdSte 403Arlington, TX 76014(817) 557-5036

u Harrison, Jason M MDGender: MaleNPI: 1679547863301 HighlanderSte 101Arlington, TX 76018(817) 419-9200Lele, Himalaya E MDGender: MaleNPI: 1962407007515 West MayfieldSte 311Arlington, TX 76014(817) 468-3471Nguyen, Long N MDGender: MaleNPI: 1952591745515 W Mayfield Rd Ste 240Arlington, TX 76014(682) 224-3748

u Padmanabhan, Rajesh SMDGender: MaleNPI: 19625175163215 Omega DrArlington, TX 76014(817) 466-7400



PATHOLOGYJones, Christopher MDGender: MaleNPI: 1346538139

43301 Matlock RoadArlington, TX 76015(682) 509-4524Krishnan, Robini C MDGender: MaleNPI: 1538149406


u Raza, Adeel MDGender: MaleNPI: 1275895922



u Gibbs, Gordon F MDGender: MaleNPI: 1417929373515 W Mayfield RdSte 407Arlington, TX 76014(682) 330-7703

MEDICAL CITY FORTWORTH


u Blanchard, Lawrence DMDGender: MaleNPI: 1427101906


u Eichenholz, Philip W MDGender: MaleNPI: 1427037084


EMERGENCY MEDICINEMilling, Sarah MDGender: FemaleNPI: 16899050443301 Matlock RoadArlington, TX 76015(972) 204-5293


MEDICAL CITYNORTH HILLS

EMERGENCY MEDICINEBuessing, Melissa A DOGender: FemaleNPI: 1134416357

43301 Matlock RdArlington, TX 76015(972) 758-3598Woodward, Philip G DOGender: MaleNPI: 1104806447


GENERAL SURGERYNguyen, Long N MDGender: MaleNPI: 1952591745515 W Mayfield Rd Ste 240Arlington, TX 76014(682) 224-3748




ARLINGTON 07/02/2020

20


MEDICAL CITYSURGERY CENTERFT WO


MEDICAL CITYWEATHERFORD




METHODISTMANSFIELDMEDICAL CTR

ANESTHESIOLOGYu Cottingham, Andrew J MDGender: MaleNPI: 1003893819

4800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343

Kamal, Aqeel K DOGender: MaleNPI: 1801280235


EMERGENCY MEDICINEHuddleston, Ashley M MDGender: FemaleNPI: 1568490621

41001 W Arbrook BlvdSte 161Arlington, TX 76015(817) 402-0952

GENERAL SURGERYu Alexander, Richard A MDGender: MaleNPI: 1164679627306 E Randol Mill RdSte 136Arlington, TX 76011(817) 224-2292Dyslin, David C MDGender: MaleNPI: 17200512122800 E Broad StSte 404Arlington, TX 76017(817) 275-3309811 W I 20Ste 212Arlington, TX 76017(817) 784-8268

u Frenzel, Clayton A DOGender: MaleNPI: 12857707841000 N Davis Dr Ste CArlington, TX 76012(817) 342-02321000 North Davis DrSte CArlington, TX 76012(817) 342-0234

u Jones, Kory MDGender: FemaleNPI: 1033235627811 W I 20Ste 212Arlington, TX 76017(817) 275-3309

Stiefel, Paul H MDGender: MaleNPI: 1417929183811 W I-20Ste 212Arlington, TX 76017(817) 275-3309

METHODISTSOUTHLAKEHOSPITAL

ANESTHESIOLOGYFang, Xiao En MDGender: MaleNPI: 1770587016

4700 Highlander BlvdSte 415Arlington, TX 76015(817) 516-8811Shenoy, Smitha V MDGender: FemaleNPI: 1598971418


GENERAL SURGERYu Fradkin, Kevin D MDGender: MaleNPI: 19726039344000 Five Points BlvdSte 133Arlington, TX 76018(817) 522-7070

u Seda, Angela E MDGender: FemaleNPI: 1003077355906 W Randol Mill RdSte 200Arlington, TX 76012(817) 261-4906

NORTH TEXASMEDICAL CENTER

GENERAL SURGERYu Dill, Leah A DOGender: FemaleNPI: 1033272828515 W MayfieldSte 402Arlington, TX 76014(817) 467-3000

SAINT CAMILLUSMEDICAL CENTER

ANESTHESIOLOGYu Patel, Shivani H MDGender: FemaleNPI: 1508938556

4700 Highland BlvdSte 415Arlington, TX 76015(817) 516-8811

TEXAS HEALTHSURGERY CENTERARLIN


4440 New York AveArlington, TX 76010(817) 927-4125Poku, Joseph K MDGender: MaleNPI: 1558789065




GENERAL SURGERYStiefel, Paul H MDGender: MaleNPI: 1417929183811 W I-20Ste 212Arlington, TX 76017(817) 275-3309




21


TRINITY PARKSURGERY CENTER

GENERAL SURGERYu Harrison, Jason M MDGender: MaleNPI: 1679547863301 HighlanderSte 101Arlington, TX 76018(817) 419-9200

TX HEALTHARLINGTONMEMORIAL HOSP

ANESTHESIOLOGYAbanobi, Maryann MDGender: FemaleNPI: 1790027191

4800 W Randol Mill RdArlington, TX 76012(817) 960-6537

u Arnold, John MDGender: MaleNPI: 1043263270

4440 New York AveArlington, TX 76010(817) 927-4125

u Cottingham, Andrew J MDGender: MaleNPI: 1003893819

4800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343Lavender, Kimberly MDGender: FemaleNPI: 1740570340


u Mehta, Vivek MDGender: MaleNPI: 1629085782201 W Randol MillRdArlington, TX 76011(817) 987-1805

Moreland, Justin P DOGender: MaleNPI: 1174967541

4811 Wright StArlington, TX 76012(972) 715-5000Read, Jaythomas MDGender: MaleNPI: 1144563776


u Smith, Lance S MDGender: MaleNPI: 1942335245

4800 W. Randol Mill RdArlington, TX 76012(817) 960-6536


4811 Wright StArlington, TX 76012(972) 715-5000Tian, Lei MDGender: FemaleNPI: 1083957179


GENERAL SURGERYu Bowers, Benjamin L MDGender: MaleNPI: 1275506776811 W I 20 Ste 212Arlington, TX 76017(817) 275-3309Dyslin, David C MDGender: MaleNPI: 17200512122800 E Broad StSte 404Arlington, TX 76017(817) 275-3309811 W I 20Ste 212Arlington, TX 76017(817) 784-8268

u Harrison, Jason M MDGender: MaleNPI: 1679547863301 HighlanderSte 101Arlington, TX 76018(817) 419-9200

u Jones, Kory MDGender: FemaleNPI: 1033235627811 W I 20Ste 212Arlington, TX 76017(817) 275-3309Lele, Himalaya E MDGender: MaleNPI: 1962407007515 West MayfieldSte 311Arlington, TX 76014(817) 468-3471

u Lyons, Augustus E MDGender: MaleNPI: 1487627972811 W I-20Ste 212Arlington, TX 76017(817) 275-3309


u Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000Stiefel, Paul H MDGender: MaleNPI: 1417929183811 W I-20Ste 212Arlington, TX 76017(817) 275-3309

NEONATAL-PERINATALMEDICINETurner, Richard DOGender: MaleNPI: 1033171764800 W Randol Mill RdArlington, TX 76012(817) 960-6100

RADIOLOGYAmosson, Chad M MDGender: MaleNPI: 1790786879902 W Randol MillSte 150Arlington, TX 76012(817) 664-9600515 W Mayfield RdSte 101Arlington, TX 76014(817) 467-6092Sura, Giri R MDGender: FemaleNPI: 1164786737811 W Interstate 20Ste G 40Arlington, TX 76017(817) 505-1400

TX HEALTH HARRISMETH HOSP SW FW

GENERAL SURGERYu Seda, Angela E MDGender: FemaleNPI: 1003077355906 W Randol Mill RdSte 200Arlington, TX 76012(817) 261-4906

TX HEALTHHUGULEY HOSP FTWORTH S




u Eichenholz, Philip W MDGender: MaleNPI: 1427037084





22


TX HEALTHHUGULEY HOSP FTWORTH S(continued)

GENERAL SURGERYu Darnell, Michael P MDGender: MaleNPI: 1750365185515 W Mayfield Rd Ste 407Arlington, TX 76014(682) 999-8346

RADIOLOGYTadjali, Azita K MDGender: FemaleNPI: 1841414786811 I 20Ste G 40Arlington, TX 76017(817) 505-1400

TX HLTH HARRISMETH HOSPALLIANCE


TX HLTH HARRISMETH SOUTHLAKE

ANESTHESIOLOGYu Hockert, Pamela MDGender: FemaleNPI: 1780813600


GENERAL SURGERYOswalt, Barry F MDGender: MaleNPI: 18412535564000 Five Points BlvdSte 133Arlington, TX 76018(817) 522-7070


PATHOLOGYu Roberts, Cory A MDGender: MaleNPI: 19422237061001 N Waldrop DriveSte 514Arlington, TX 76012(817) 471-1090

TX HLTH HARRISMETHODISTCLEBURNE


u Phillips, Michael S MDGender: MaleNPI: 1306823927800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343

TX HLTH HARRISMETHODIST HOSPFW

GENERAL SURGERYu Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

NEONATAL-PERINATALMEDICINENedrelow, Jonathan H MDGender: MaleNPI: 19725670633301 Matlock RdArlington, TX 76015(817) 465-3241Turner, Richard DOGender: MaleNPI: 1033171764800 W Randol Mill RdArlington, TX 76012(817) 960-6100

RADIOLOGYTadjali, Azita K MDGender: FemaleNPI: 1841414786811 I 20Ste G 40Arlington, TX 76017(817) 505-1400

TX HLTH HARRISMETHODIST HOSPHEB

GENERAL SURGERYu Seda, Angela E MDGender: FemaleNPI: 1003077355906 W Randol Mill RdSte 200Arlington, TX 76012(817) 261-4906


TX HLTH HEARTVASCULARARLINGTON

GENERAL SURGERYLele, Himalaya E MDGender: MaleNPI: 1962407007515 West MayfieldSte 311Arlington, TX 76014(817) 468-3471


TX HLTH SURGERYCENTER CLEBURNE


u Phillips, Michael S MDGender: MaleNPI: 1306823927800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343




23


TX HLTH SURGERYCENTER CLEBURNE(continued)

ANESTHESIOLOGY(continued)Roberts, Courtney R MDGender: MaleNPI: 1629033576


TX HLTH SURGERYCTR PARK HILL


4440 New York AveArlington, TX 76010(817) 927-4125

UNITED REGIONALHLTH CARE SYSTEM

GENERAL SURGERYTauriainen, Mikko P MDGender: MaleNPI: 1174529325515 W Mayfield RdSte 311Arlington, TX 76014(817) 468-3471

USMD HOSPITAL ATARLINGTON LP

ANESTHESIOLOGYu Cottingham, Andrew J MDGender: MaleNPI: 1003893819

4800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343

u Escarzega Phan, Don MDGender: MaleNPI: 10737471501119 W Randol Mill RdSte 100Arlington, TX 76012(817) 860-2700

u Graybill, David B DOGender: MaleNPI: 11947539966702 Poly Webb RdDFW Medical CenterArlington, TX 76016(817) 478-0095Safo, Adelle MDGender: FemaleNPI: 1871939843

4801 West I 20Arlington, TX 76017(972) 715-5000Sardar, Winfred A MDGender: MaleNPI: 1952362824

4501 Rita Ln Ste 101Arlington, TX 76014(817) 419-9048

GENERAL SURGERYu Bowers, Benjamin L MDGender: MaleNPI: 1275506776811 W I 20 Ste 212Arlington, TX 76017(817) 275-3309Dyslin, David C MDGender: MaleNPI: 17200512122800 E Broad StSte 404Arlington, TX 76017(817) 275-3309811 W I 20Ste 212Arlington, TX 76017(817) 784-8268Flory, Hannah H MDGender: FemaleNPI: 1922442912811 W I 20 Ste 212Arlington, TX 76017(817) 275-3309

u Jones, Kory MDGender: FemaleNPI: 1033235627811 W I 20Ste 212Arlington, TX 76017(817) 275-3309

u Lyons, Augustus E MDGender: MaleNPI: 1487627972811 W I-20Ste 212Arlington, TX 76017(817) 275-3309Stiefel, Paul H MDGender: MaleNPI: 1417929183811 W I-20Ste 212Arlington, TX 76017(817) 275-3309

RADIOLOGYu Balch, Emmet H MDGender: MaleNPI: 1568464147

4801 W Interstate 20Arlington, TX 76017(713) 461-3573Beisert, Gene E MDGender: MaleNPI: 1831148865

4801 West I 20Arlington, TX 76017(817) 472-3417

u Derdeyn, Leslie J MDGender: MaleNPI: 1831198209811 W I 20 Ste G 26Arlington, TX 76017(817) 505-1600Jordan, Larry K MDGender: MaleNPI: 1255312740

4801 W Interstate 20Arlington, TX 76017(713) 461-3573

u Kacholiya, Nidhi MDGender: FemaleNPI: 1043463318


u Knight, David R MDGender: MaleNPI: 1588613293

4801 West I 20Arlington, TX 76017(817) 472-3417Leitko, Jeffrey K MDGender: MaleNPI: 1245374537

4801 W Interstate 20Arlington, TX 76017(713) 461-3573811 W Interstate 20Ste G 40Arlington, TX 76017(817) 505-1400Mamillapalli, Narayana SMDGender: MaleNPI: 1972724086

4801 W Interstate 20Arlington, TX 76017(713) 461-3573Neela, Sangeeta MDGender: FemaleNPI: 1760686349


u Usher, Kenneth W MDGender: MaleNPI: 1366492431801 West I 20Arlington, TX 76015(214) 946-4397

u Wilson, John D MDGender: MaleNPI: 1144204652801 W Interstate 20Arlington, TX 76017(214) 946-4397

WISE HEALTHSYSTEM







24


WISE HEALTHSYSTEM (continued)

GENERAL SURGERYu Frenzel, Clayton A DOGender: MaleNPI: 12857707841000 N Davis Dr Ste CArlington, TX 76012(817) 342-02321000 North Davis DrSte CArlington, TX 76012(817) 342-0234


ANESTHESIOLOGYMathews, Manu MDGender: MaleNPI: 1346457751401 Stribling DrAzle, TX 76020(817) 927-4100

SEYMOURHOSPITAL

EMERGENCY MEDICINEOpella, Christoph M MDGender: MaleNPI: 1134184716

4108 Denver TrailAzle, TX 76020(817) 444-8670

TX HEALTH HARRISMETH HOSP SW FW

GENERAL SURGERYu Jordan, C Daniel DOGender: MaleNPI: 1194921452137 A N IndustrialAzle, TX 76020(817) 757-1675

TX HEALTHHUGULEY HOSP FTWORTH S




GENERAL SURGERYu Shabout, Nabeel M MDGender: MaleNPI: 1033160858909 Southeast PkwySte 103Azle, TX 76020(817) 753-6917

WISE HEALTHSYSTEM



B S & WORTHOPEDIC &SPINE HOS

RADIOLOGYWoods, Carolyn J MDGender: FemaleNPI: 1285672519

41320 Airport FwyBedford, TX 76022(214) 345-4406

BAYLOR MEDICALCENTERWAXAHACHIE

GENERAL SURGERYu Skyiepal, Mark D MDGender: MaleNPI: 11240402662700 Tibbets Dr Ste 301 1Bedford, TX 76022(817) 770-0079


GENERAL SURGERYu Grays, Peter E MDGender: MaleNPI: 13068687161909 Central DrSte 202Bedford, TX 76021(817) 571-4620

RADIOLOGYu McQuaid, Martha I MDGender: FemaleNPI: 1902856339

41615 Hospital PkwyBedford, TX 76022(800) 000-0000

BS&W MEDICALCENTER GRAPEVINE

ANESTHESIOLOGYu Enty, Don A MDGender: MaleNPI: 12159149241604 Hospital PkwySte 308Bedford, TX 76022(817) 354-8697

u Pettibon, Michael D MDGender: MaleNPI: 1699752097

41604 Hospital PkwySte 309Bedford, TX 76022(817) 354-8697

GENERAL SURGERYu Brian, Mary B MDGender: FemaleNPI: 19028568001609 Hospital PkwyBedford, TX 76022(817) 359-9000Meltzer, Robert G MDGender: MaleNPI: 1417907486


COOK CHILDRENSMEDICAL CENTER

NEONATAL-PERINATALMEDICINEElizondo, Leah I MDGender: FemaleNPI: 1376809343



ANESTHESIOLOGYMathews, Manu MDGender: MaleNPI: 1346457751837 Brown TrBedford, TX 76022(817) 920-6400

KINDRED HOSPITALMANSFIELD

GENERAL SURGERYPowell, Robert O MDGender: MaleNPI: 10433209061305 Airport Fwy Ste 103Bedford, TX 76021(469) 320-1268




25


MEDICAL CITY FORTWORTH

GENERAL SURGERYu Grays, Peter E MDGender: MaleNPI: 13068687161909 Central DrSte 202Bedford, TX 76021(817) 571-4620

MEDICAL CITYNORTH HILLS






METHODISTSOUTHLAKEHOSPITAL

GENERAL SURGERYu Brian, Mary B MDGender: FemaleNPI: 19028568001609 Hospital PkwyBedford, TX 76022(817) 359-9000

u Seda, Angela E MDGender: FemaleNPI: 10030773551609 Hospital PkwyBedford, TX 76022(817) 662-0008

TX HEALTHARLINGTONMEMORIAL HOSP




ANESTHESIOLOGYu Pettibon, Michael D MDGender: MaleNPI: 1699752097





GENERAL SURGERYu Grays, Peter E MDGender: MaleNPI: 13068687161909 Central DrSte 202Bedford, TX 76021(817) 571-4620Meltzer, Robert G MDGender: MaleNPI: 1417907486


NEONATAL-PERINATALMEDICINENedrelow, Jonathan H MDGender: MaleNPI: 19725670631600 Hospital PkwyBedford, TX 76022(817) 685-4000White, Bernadette MDGender: FemaleNPI: 1740628544


TX HLTH HARRISMETHODIST HOSPHEB


u Gulden, Richard H MDGender: MaleNPI: 1891742052





41604 Hospital PkwySte 208Bedford, TX 76022(817) 540-2544Pratt, Babafemi B MDGender: MaleNPI: 11747738731604 Hospital PkwySte 501Bedford, TX 76022(817) 684-2700




BEDFORD 07/02/2020

26


TX HLTH HARRISMETHODIST HOSPHEB (continued)

GENERAL SURGERY(continued)

u Shah, Sajid H MDGender: MaleNPI: 14979209531604 Hospital PkwySte 501Bedford, TX 76022(817) 684-2700

PATHOLOGYMontgomery Goecker,Crystal MDGender: FemaleNPI: 1689018954


u Powell, Ted B MDGender: MaleNPI: 1003824483


TX HLTH HEARTVASCULARARLINGTON

ANESTHESIOLOGYEifling, Michael D MDGender: MaleNPI: 1295921989

41305 Airport FrwySte 301Bedford, TX 76021(682) 223-9120

BAYLOR S&WSURGICARE FTWORTH

ANESTHESIOLOGYDoyen, Jerome R MDGender: MaleNPI: 16696091786311 Southwest BlvdBenbrook, TX 76132(682) 936-2544

MEDICAL CITYARLINGTON

ANESTHESIOLOGYu Graybill, David B DOGender: MaleNPI: 11947539966311 Southwest BlvdBenbrook, TX 76132(817) 731-9400


ANESTHESIOLOGYDoyen, Jerome R MDGender: MaleNPI: 16696091786311 Southwest BlvdBenbrook, TX 76132(682) 936-2544

USMD HOSPITAL ATARLINGTON LP

ANESTHESIOLOGYu Graybill, David B DOGender: MaleNPI: 11947539966311 Southwest BlvdBenbrook, TX 76132(817) 731-9400

NOCONA GENERALHOSPITAL

EMERGENCY MEDICINEDingler, Chance W MDGender: MaleNPI: 1780743898504 Mason StBowie, TX 76230(940) 872-3333Dingler, Leonard T MDGender: MaleNPI: 1164439352

4504 Mason StBowie, TX 76230(940) 872-3333

West, George R MDGender: MaleNPI: 1811051329

4504 Mason StBowie, TX 76230(940) 872-3333

GENERAL SURGERYAujla, Surinder S MDGender: MaleNPI: 11048872721010 N Mill StBowie, TX 76230(940) 872-1121

UNITED REGIONALHLTH CARE SYSTEM

EMERGENCY MEDICINEHilmi, John O MDGender: MaleNPI: 1568480978

4705 E Greenwood AveBowie, TX 76230(940) 763-1207Menchaca, Rodrigo X MDGender: MaleNPI: 1083672927

4705 E Greenwood AveBowie, TX 76230(940) 763-1200Meyer, Stuart J MDGender: MaleNPI: 1578521373

4705 E Greenwood AveBowie, TX 76230(940) 763-1200Moreno, Armando T MDGender: MaleNPI: 1083672885

4705 E Greenwood AveBowie, TX 76230(940) 763-1200Myers, Alan S MDGender: MaleNPI: 1588622450

4705 E Greenwood AveBowie, TX 76230(940) 763-1200

Ruiz, Ricardo MDGender: MaleNPI: 1992759856

45420 Kellwest BlvdBowie, TX 76230(940) 763-1200

4705 E Greenwood AveBowie, TX 76230(940) 763-1200Selvaraj, Ramasamy MDGender: MaleNPI: 1295792612

4705 E Greenwood AveBowie, TX 76230(940) 763-1200Walker, Cortnie MDGender: FemaleNPI: 1043491822

4705 E Greenwood AveBowie, TX 76230(940) 763-1200Zardain, Victor M MDGender: MaleNPI: 1699733493


WILBARGERGENERAL HOSPITAL

EMERGENCY MEDICINEAnwasi, Francis C MDGender: MaleNPI: 1356537344

4705 E GreenwoodBowie, TX 76230(281) 363-3156

WISE HEALTHSYSTEM

EMERGENCY MEDICINEHoover, Andrew W MDGender: MaleNPI: 1902837727




07/02/2020 BEDFORD

27



RADIOLOGYu McQuaid, Martha I MDGender: FemaleNPI: 1902856339

41905 Doctors Hospital DrBridgeport, TX 76426(940) 683-2325

u Miles, Michele R MDGender: FemaleNPI: 1194764787


u Wise, Denise K MDGender: FemaleNPI: 1184634586



RADIOLOGYGeorgelas, Timothy

Documents

F o rt Worth - Blue Cross Blue Shield Association · 2020-04-20 · F o rt Worth Welcome to Blue Choice PPO SM Use this directory to find the doctors, health care professionals and