Abigail Joy Soderdahl is a Physician Assistant practicing in Fort Worth, Texas. The National Provider Identifier (NPI) is #1619775236, which was assigned on March 7, 2025, and the registration record was last updated on March 7, 2025. The practitioner's main practice location is at 2900 Acme Brick Plz, Fort Worth, TX 76109-4123; the contact telephone number is 8178719069. The primary taxonomy of Abigail Joy Soderdahl is Physician Assistant (363A00000X).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1619775236 |
| Entity Type | Individual |
| Provider Name | ABIGAIL JOY SODERDAHL |
| Gender | Female |
| Credential | PA-C |
| Practice Address |
2900 Acme Brick Plz Fort Worth TX 76109-4123 |
| Practice Telephone | 8178719069 |
| Mailing Address |
2900 Acme Brick Plz Fort Worth TX 76109-4123 |
| Mailing Telephone | 8178719069 |
| Certification Date | 2025-03-07 |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |
| Is Sole Proprietor | Y |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cassandra Job | 110 W 97th St, New York, NY 10025-6450 | Physician Assistant | 2025-03-07 |
| Yeun Hiroi | Po Box 5215, Tacoma, WA 98415-0215 | Physician Assistant | 2025-03-08 |
| Goutham Charya | 11603 Tori Glen Ct, Herndon, VA 20170-2473 | Physician Assistant | 2025-03-08 |
| Jordan Elyse Hedke | 521 Montgomery Hwy Ste 117, Vestavia Hills, AL 35216-1876 | Physician Assistant | 2025-03-07 |
| Joli A Smith | 805 Lanier Ave E, Fayetteville, GA 30214-2204 | Physician Assistant | 2025-03-08 |
| Tatum Rae Turetzky | 1601 18th St Nw Apt 514, Washington, DC 20009-2515 | Physician Assistant | 2025-03-08 |
| Gabrielle Gieringer | 23 N Walnut St, Boyertown, PA 19512-1736 | Physician Assistant | 2025-03-07 |
| Shaylee Schleppi | 1721 Magnavox Way Ste B, Fort Wayne, IN 46804-1537 | Physician Assistant | 2025-03-07 |
| Ashleigh Nichole Bullock | 238 Hillcrest Dr, Huntingdon, TN 38344-1502 | Physician Assistant | 2025-03-08 |
| Nikoli Ricondo Bellmas | 9801 Belvedere Rd, Royal Palm Beach, FL 33411-3640 | Physician Assistant | 2025-03-08 |
| Find all providers with the same taxonomy | |||
| Street Address |
2900 ACME BRICK PLZ |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4123 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kevin Daniel Schmitz | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | Urology Physician | 2018-07-26 |
| Michael G Waters | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | Urology Physician | 2006-04-08 |
| David R Rittenhouse | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | Urology Physician | 2006-04-07 |
| Brandy Lyn Naggatz | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | Family Nurse Practitioner | 2024-07-15 |
| Natalie Burton | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | Family Medicine Physician | 2022-06-08 |
| Abby Lynne Cahill | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | Physician Assistant | 2020-06-04 |
| James Joseph Kelley Iv | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | Student in an Organized Health Care Education/Training Program | 2015-04-11 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Steele Plastic Surgery PLLC | 5656 Edwards Ranch Road, Suite 202, Fort Worth, TX 76109 | Plastic and Reconstructive Surgery Physician | 2018-04-17 |
| Northstar Pharmacy LLC | 6014 Southwest Blvd, Benbrook, TX 76109 | Community/Retail Pharmacy | 2019-11-04 |
| Deborah K Lehmann, M.D. | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | Medical Specialty Clinic/Center | 2015-03-26 |
| Samantha Rae King | 3500 Bellaire Drive, Fort Worth, TX 76109 | Sports Medicine (Emergency Medicine) Physician | 2022-09-19 |
| Shaan Dental PLLC | 5270 Marathon Ave, Fort Worth, TX 76109 | General Practice Dentistry | 2022-02-18 |
| Ft Worth Ranch Assist, LLC | 3516 Ranch View Terrace, Fort Worth, TX 76109 | Neurological Surgery Physician | 2014-05-21 |
| Albertsons LLC | 3563 Alton Rd, Fort Worth, TX 76109 | Durable Medical Equipment & Medical Supplies | 2009-09-29 |
| Parkway Dental Professionals | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | Preferred Provider Organization | 2015-04-16 |
| Debra Cooper Lantz | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | Occupational Therapist | 2018-11-08 |
| Ethan Walker | 5755 Clearfork Main, Fort Worth, TX 76109 | Physical Therapist | 2023-05-01 |
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|---|---|---|---|
| Abigail Marie Lawinger · Abigail Wlodyka | 14650 E Old Us Highway 12, Suite 303, Chelsea, MI 48118 | Physician Assistant | 2024-08-28 |
| Douglas Walter Soderdahl | 411 Hobron Lane, #3808, Honolulu, HI 96815-1220 | Urology Physician | 2006-08-14 |
| Abigail Michelle Clymer · Abigail M Jeffries | 1991 Fordham Dr Ste 100, Fayetteville, NC 28304-3774 | Physical Therapist | 2019-03-26 |
| Douglas Wayne Soderdahl | 3851 Roger Brooke Drive, Mche-Qd, Fort Sam Houston, TX 78234-6200 | Military Health Care Provider | 2005-12-27 |
| Abigail Grace Jones · Abigail Cavender | 420 Walmart Way Ste B, Dahlonega, GA 30533-0818 | Physical Therapist | 2021-05-24 |
| Abigail L Alexander · Abigail Julia Lopez | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | Anesthesiologist Assistant | 2017-02-15 |
| Abigail W Durden · Abigail Rodgers Wilson | 3331 Easy St, Dunn, NC 28334-7988 | Pediatrics Physician | 2006-04-01 |
| Abigail Leigh Johnson · Abigail Hardesty | 3422a Court St, Pekin, IL 61554-6235 | Family Nurse Practitioner | 2020-10-09 |
| Abigail Marie Pardo · Abigail Garrow | 24800 Se Stark St, Gresham, OR 97030-3378 | Gerontology Nurse Practitioner | 2021-03-04 |
| Abigail Elizabeth Hughes · Abigail Douglass | 971 N Gilbert Rd Ste 101, Gilbert, AZ 85234-3481 | Behavioral Analyst | 2021-09-07 |
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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 |
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. |