MEDCARE PEDIATRIC GROUP, LP (NPI# 1023520509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023520509 |
| Entity Type | Organization |
| Organization Name | MEDCARE PEDIATRIC GROUP, LP |
| Other Organization Name | MEDCARE SPORTS REHAB & RECOVERY |
| Practice Address |
12371 S Kirkwood Rd Stafford TX 77477-2836 |
| Practice Telephone | 7139959292 |
| Mailing Telephone | 7138757435 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | PAIGE KINKADE (CEO) |
| Authorized Official Telephone | 7139959292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MedCare Sports Rehab & Recovery | Doing Business As Name - Organization |
| Street Address |
12371 S KIRKWOOD RD |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982651410 | Medcare Pediatric Therapy, Lp | Home Health | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2006-05-29 |
| 1770199119 | Manassawee Rieck | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-09-21 |
| 1568072080 | Tyler Yvonne Hoke | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-08-10 |
| 1477174498 | Rise Aba Center LLC | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1093336018 | Rise Home Health LLC | Home Health | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1275154296 | Rise Staffing LLC | Nursing Care | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1811523236 | Mia Holder | Behavioral Analyst | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-03-17 |
| 1902431513 | Chelsea Lim | Occupational Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-03-04 |
| 1366075905 | Mary Valicek | Occupational Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-02-21 |
| 1467085720 | Joy F Olurebi | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1366941981 | Kimberly Anne Foster | Pediatrics | 23203 Bulverde Rd, San Antonio, TX 78259-2203 | 2018-02-09 |
| 1598119315 | Allison Baran | Pediatrics | 7211 Preston Rd, Plano, TX 75024 | 2016-04-18 |
| 1467750612 | Bert Milton Franks | Pediatrics | 6812 Riverridge Rd, Ft Worth, TX 76116-9355 | 2011-03-10 |
| 1417984055 | Karen M Kirk | Pediatrics | 701 Interstate 20 E, Arlington, TX 76018-1130 | 2006-06-27 |
| 1073988895 | Lindsey Pereira Sebastian | Pediatrics | 7211 Preston Rd Ste 1200, Plano, TX 75024-0238 | 2015-12-04 |
| 1871964122 | University of Dallas | Pediatrics | 1845 E Northgate Dr, Maher Athletic Center, Irving, TX 75062-4736 | 2015-10-13 |
| 1770923294 | Jennifer L. Johnson, Md Pllc | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2013-06-28 |
| 1952538290 | Jacel Craig Brooks | Pediatrics | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2009-06-13 |
| 1487829719 | Shane Michael Miller | Pediatrics | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2008-04-28 |
| 1073787024 | Jennifer Leigh Johnson | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2008-04-21 |
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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.