MD PEDIATRIC ASSOCIATES, P.A. (NPI# 1013922731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013922731 |
| Entity Type | Organization |
| Organization Name | MD PEDIATRIC ASSOCIATES, P.A. |
| Other Organization Name | MD PEDIATRIC ASSOCIATES |
| Practice Address |
760 N Denton Tap Rd Suite 130 Coppell TX 75019-2163 |
| Mailing Address |
Po Box 2429 Coppell TX 75019-8429 |
| Practice Telephone | 9724201475 |
| Practice Fax Number | 2142222435 |
| Mailing Telephone | 9724201475 |
| Mailing Fax Number | 2142222435 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-02-17 |
| Authorized Official Name | DR. MARK W HOLT (PRESIDENT) |
| Authorized Official Telephone | 9724201475 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MD Pediatric Associates | Other Name - Individual/Organization |
| Street Address |
760 N DENTON TAP RD SUITE 130 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433650 | Darletta Joan Kincaid | Pediatrics | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-09 |
| 1730469354 | Prachi Deore P.a. | Dentist | 760 N Denton Tap Rd, #190, Coppell, TX 75019-2163 | 2011-08-26 |
| 1063659738 | Melinda Parker-troutman | Dentist | 760 N Denton Tap Rd, Suite 190, Coppell, TX 75019-2163 | 2009-01-16 |
| 1992929665 | Trevor S Bonilla | Dentist | 760 N Denton Tap Rd, Suite 110, Coppell, TX 75019-2163 | 2007-04-12 |
| 1720080138 | Kim Renae Mowery | Nurse Practitioner | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-15 |
| 1114929510 | Beline Marie Boyle | Nurse Practitioner | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-15 |
| 1346241528 | Mark Walker Holt | Pediatrics | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114360617 | Ulanoski Associates, P.a. | Pediatrics | 150 S Denton Tap Rd, Suite 116, Coppell, TX 75019-3364 | 2013-04-15 |
| 1659685709 | Vani Venkatachalam | Pediatrics | 760 N Denton Tap Rd Ste 120, Coppell, TX 75019-2164 | 2010-07-31 |
| 1235318981 | Julie Ann Taylor | Pediatrics | 652 E Sandy Lake Road, Coppell, TX 75019 | 2007-10-30 |
| 1538248091 | Anne Georgulas | Pediatrics | 150 S Denton Tap Rd Ste 116, Coppell, TX 75019-3323 | 2006-11-03 |
| 1417047721 | George Mcanelly II | Pediatrics | 652 E Sandy Lake Rd, Coppell, TX 75019-3019 | 2006-10-15 |
| 1053405720 | James Robert Ulanoski | Pediatrics | 150 South Denton Tap Road, Suite 116, Coppell, TX 75077 | 2006-10-03 |
| 1043246424 | Angela Nnebuchi Moemeka | Pediatrics | 165 E. State Highway 121, Suite 110, Coppell, TX 75019-4237 | 2006-06-25 |
| 1265433650 | Darletta Joan Kincaid | Pediatrics | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-09 |
| 1750388971 | Ava Cheryl Stanczak | Pediatrics | 645 E State Highway 121 Ste 600, Coppell, TX 75019-7942 | 2005-07-01 |
| 1073518957 | Tammi Lyn Schlichtemeier | Pediatrics | 1705 E Belt Line Rd, Coppell, TX 75019-9606 | 2005-06-16 |
| Find all providers in COPPELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.