PPG HEALTH PA NPI 1295736973

NPI Information

NPI: 1295736973
Provider Name: PPG HEALTH, PA

Doing Business As: LONGEVITY BARIATRIC AND WELLNESS

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1000 W CANNON ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 877-5858
Get Directions

PPG HEALTH, PA is a nephrology internal medicine in Fort Worth, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PPG HEALTH, PA NPI is 1295736973. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Longevity Bariatric And Wellness.

The provider's business location address is:

1000 W CANNON ST
FORT WORTH, TX
ZIP 76104-029
Phone: (817) 877-5858
Fax: (817) 335-4418

The provider's authorized official is Ponniah S Sankarapandian .
The authorized official title is President/ceo and has the following contact phone number (817) 877-5858.

The enumeration date for this NPI number is 8/3/2005 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	204F00000X	Transplant Surgery		No
2	207N00000X	Dermatology		No
3	207Q00000X	Family Medicine		No
4	207R00000X	Internal Medicine		No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	No
6	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
7	207RG0100X	Internal Medicine	Gastroenterology	No
8	207RI0011X	Internal Medicine	Interventional Cardiology	No
9	207RT0003X	Internal Medicine	Transplant Hepatology	No
10	207V00000X	Obstetrics & Gynecology		No
11	208600000X	Surgery		No
12	2086X0206X	Surgery	Surgical Oncology	No
13	363A00000X	Physician Assistant		No
14	363L00000X	Nurse Practitioner		No
15	207RN0300X	Internal Medicine	Nephrology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	084560402	MEDICAID	TEXAS
2	084560401	MEDICAID	TEXAS
3	00QQ28	OTHER	TEXAS	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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