COOK CHILDREN'S MEDICAL CENTER (NPI# 1326548280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326548280 |
| Entity Type | Organization |
| Organization Name | COOK CHILDREN'S MEDICAL CENTER |
| Other Organization Name | COOK CHILDRENS URGENT CARE HURST |
| Practice Address |
6316 Precinct Line Rd Ste A Hurst TX 76054-2766 |
| Mailing Address |
Po Box 99213 Fort Worth TX 76199-0213 |
| Practice Telephone | 8176052500 |
| Practice Fax Number | 8176052983 |
| Mailing Telephone | 6828851860 |
| Mailing Fax Number | 6828851396 |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | STEPHEN W KIMMEL (CFO) |
| Authorized Official Telephone | 6828857663 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK CHILDREN'S MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 000332 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| COOK CHILDRENS URGENT CARE HURST | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 7th Ave, Fort Worth, TX 761042733 | 6828854000 | 6828851903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104383983 | Cook Children's Medical Center | Clinic/Center | 4300 W University Dr, Prosper, TX 75078-9806 | 2019-02-27 |
| 1942509963 | Cook Children's Medical Center | Psychologist | 901 7th Ave Ste 2100, Fort Worth, TX 76104-2722 | 2011-03-16 |
| 1215907530 | Cook Children's Medical Center | Ambulance | 124 Texas Way, Fort Worth, TX 76106-2773 | 2006-01-26 |
| 1760452080 | Cook Children's Medical Center | Clinic/Center | 1500 Cooper St Fl 1, Fort Worth, TX 76104-2710 | 2006-01-26 |
| 1316409105 | Cook Children's Medical Center | Clinic/Center | 13340 Highland Hills Dr, Aledo, TX 76008 | 2019-04-02 |
| 1609338490 | Cook Children's Medical Center | Pediatrics | 13340 Highland Hills Dr, Aledo, TX 76008 | 2019-04-02 |
| 1003373887 | Cook Children's Medical Center | Pediatrics | 4300 W University Dr, Prosper, TX 75078-9806 | 2019-02-27 |
| 1114427911 | Cook Children's Medical Center | Clinic/Center | 6316 Precinct Line Rd Ste A, Hurst, TX 76054-2766 | 2018-02-19 |
| 1538669916 | Cook Children's Medical Center | Pediatrics | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2018-02-13 |
| 1093215477 | Cook Children's Medical Center | Clinic/Center | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2018-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COOK CHILDREN'S MEDICAL CENTER | 801 7th Ave, Fort Worth, TX 76104-2733 |
| Street Address |
6316 PRECINCT LINE RD STE A |
| City | HURST |
| State | TX |
| Zip Code | 76054-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387853 | Tarjani S Mehta | Physician Assistant | 6316 Precinct Line Rd Ste A, Hurst, TX 76054-2766 | 2018-12-05 |
| 1114427911 | Cook Children's Medical Center | Clinic/Center | 6316 Precinct Line Rd Ste A, Hurst, TX 76054-2766 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942856224 | Nancy Lopez | Speech-Language Pathologist | 6168 Bentridge Rd, Hurst, TX 76054 | 2019-08-13 |
| 1942771134 | James L Thomason Md | Psychiatry & Neurology | 769 Lonesome Dove Trail, Hurst, TX 76054 | 2018-12-16 |
| 1114498672 | Alpha Hyperbarics Pllc | Preventive Medicine | 1845 Precinct Line Road, Ste 105, Hurst, TX 76054 | 2018-12-10 |
| 1922555234 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 809 W Harwood Rd Ste 103, Hurst, TX 76054 | 2016-09-02 |
| 1427422765 | Stephen Craig Sims | Dentist | 1725 Cimarron Trail, Suite 1, Hurst, TX 76054 | 2015-11-24 |
| 1629464342 | Meredith Drake | Pediatrics | 731 Martin Road, Hurst, TX 76054 | 2015-04-09 |
| 1104236454 | Jessica Shepard,ma,lpc | Counselor | 1817 Harwood Court, Hurst, TX 76054 | 2014-05-07 |
| 1801225016 | Hearing Essentials of Texas, Inc. | Clinic/Center | 672 Grapevine Hwy, Hurst, TX 76054 | 2013-11-07 |
| 1265787337 | Sarah Michele Talbott | Optometrist | 2817 Hurstview Dr., Hurst, TX 76054 | 2012-07-16 |
| 1174801617 | Robert Harry Levy | Dentist | 828 Harwood Rd, Tarrant County College Dental Hygiene Program, Hurst, TX 76054 | 2011-08-02 |
| Find all providers in zip 76054 | ||||
| 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 |
|---|---|---|---|---|
| 1629464342 | Meredith Drake | Pediatrics | 731 Martin Road, Hurst, TX 76054 | 2015-04-09 |
| 1710037940 | Antonia Loiz Bronstein | Pediatrics | 1832 Norwood Plz, Suite A, Hurst, TX 76054-3748 | 2007-01-11 |
| 1952499774 | Julia F Coutoumanos | Pediatrics | 731 Martin Rd, Hurst, TX 76054-2703 | 2006-10-10 |
| 1346596103 | Deeni Luz De La Rosa Perez | Pediatrics | 6316 Precinct Line Rd, Hurst, TX 76054-2766 | 2012-07-31 |
| 1922201821 | Lisa A Nash | Pediatrics | 731 Martin Rd, Hurst, TX 76054-2703 | 2007-06-07 |
| 1366527574 | Prem N Saksena | Pediatrics | 731 Martin Rd, Hurst, TX 76054-2703 | 2006-10-26 |
| 1467537654 | Shams A Karimi | Pediatrics | 731 Martin Rd, Hurst, TX 76054-2703 | 2006-10-26 |
| 1770664682 | Michael J Deitchman | Pediatrics | 731 Martin Rd, Hurst, TX 76054-2703 | 2006-10-18 |
| 1356421556 | Melanie G Harston | Pediatrics | 731 Martin Rd, Hurst, TX 76054-2703 | 2006-10-16 |
| 1093804288 | Melissa B Adams | Pediatrics | 731 Martin Rd, Hurst, TX 76054-2703 | 2006-10-12 |
| Find all providers in HURST | ||||
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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.