PETER G. MCDOUGALL M.D. (NPI# 1427242932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427242932 |
| Entity Type | Organization |
| Organization Name | PETER G. MCDOUGALL M.D. |
| Practice Address |
6609 Crooked Stick Dr Fort Worth TX 76132 |
| Mailing Address |
6609 Crooked Stick Dr Fort Worth TX 76132-4526 |
| Practice Telephone | 8173075101 |
| Mailing Telephone | 8173075101 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | DR. PETER GORDON MCDOUGALL (OWNER) |
| Authorized Official Telephone | 8173075101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
E8068 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE GROUP NUMBER | 00766R | 01 |
| Street Address |
6609 CROOKED STICK DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264948 | Peter Gordon Mcdougall | Family Medicine | 6609 Crooked Stick Dr, Ste 290, Fort Worth, TX 76132 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275582439 | John Edward Champion | Family Medicine | 800 8th Ave, Suite 532, Fort Worth, TX 76104-2604 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676970 | Oscar Samuel Claros | Family Medicine | 11807 South Fwy Ste 360, Burleson, TX 76028-7045 | 2019-06-04 |
| 1548554355 | Chau Nguyen Md, Pa | Family Medicine | 7111 Harwin, Ste. #201, Houston, TX 77036-2131 | 2011-06-09 |
| 1659558195 | Connie Pham, M.d.,p.a. | Family Medicine | 2118 Scenic Dr, Georgetown, TX 78626-7728 | 2008-01-28 |
| 1144426198 | Muhammad M Uddin | Family Medicine | 4351 Dfw Tpke, Ste 150, Dallas, TX 75211-1501 | 2007-06-26 |
| 1760685804 | Janna Wilder | Family Medicine | 1 Trinity Pl # 80, San Antonio, TX 78212-4674 | 2007-06-07 |
| 1487737219 | Oscar Olfindo Enriquez | Family Medicine | 2801 Macarthur Dr Ste E, West Orange, TX 77630-4791 | 2006-10-23 |
| 1326155219 | Angela Yvette Mosley-nunnery | Family Medicine | 22710 Professional Dr., Ste#202, Kingwood, TX 77339 | 2006-08-24 |
| 1770520066 | Neil Stanton Levy | Family Medicine | 12531 Renoir Ln, Dallas, TX 75230-1749 | 2006-06-02 |
| 1003808379 | Everett L Warthan | Family Medicine | 3500 S Ih 35, Belton, TX 76513-9426 | 2005-08-22 |
| 1982606489 | Sarah B Carter | Family Medicine | 7771 E Highway 153, Winters, TX 79567 | 2005-08-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
Please comment or provide details below to improve the information on PETER G. MCDOUGALL M.D..
| 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.