OrganizationActive
Fort Worth Proctologic Clinic, PA
NPI 1710217435 · Specialist · Fort Worth, TX
Fort Worth Proctologic Clinic, PA is a Specialist organization in Fort Worth, TX (NPI 1710217435).
Provider details
- NPI number
- 1710217435
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sommai Sehapayak, Owner(817) 338-4501
- License
- E1124 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1050 W Rosedale St
Fort Worth, TX 76104-4422
Phone: (817) 338-4501
Fax: (817) 338-4503
Street-level locationGet directions
Mailing address
1050 W Rosedale St
Fort Worth, TX 76104-4422
Registry dates
- Enumerated
- 2009-12-31
- Last updated
- 2009-12-31
Frequently asked questions
- What is Fort Worth Proctologic Clinic, PA's NPI number?
- Fort Worth Proctologic Clinic, PA's National Provider Identifier (NPI) is 1710217435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Worth Proctologic Clinic, PA?
- Fort Worth Proctologic Clinic, PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Fort Worth Proctologic Clinic, PA located?
- Fort Worth Proctologic Clinic, PA's practice location on file with NPPES is 1050 W Rosedale St, Fort Worth, TX 76104-4422.
- What is Fort Worth Proctologic Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Fort Worth Proctologic Clinic, PA is (817) 338-4501.
- Who is the authorized official for Fort Worth Proctologic Clinic, PA?
- The authorized official listed on Fort Worth Proctologic Clinic, PA's NPPES record is Sommai Sehapayak, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Worth Proctologic Clinic, PA's NPI active?
- Yes — Fort Worth Proctologic Clinic, PA's NPI (1710217435) is active in the NPPES registry as of the last update on 2009-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.