COOK CHILDREN'S PHYSICIAN NETWORK (NPI# 1467903088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467903088 |
| Entity Type | Organization |
| Organization Name | COOK CHILDREN'S PHYSICIAN NETWORK |
| Other Organization Name | COOK CHILDREN'S URGENT CARE |
| Practice Address |
801 7th Ave Fort Worth TX 76104-2733 |
| Mailing Address |
Po Box 9044 Belfast ME 04915-9044 |
| Practice Telephone | 6828856800 |
| Practice Fax Number | 6828851903 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857337 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | WILLIAM B NELSON (PRESIDENT) |
| Authorized Official Telephone | 6828857549 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK CHILDREN'S PHYSICIAN NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| COOK CHILDREN'S URGENT CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255882411 | Cook Children's Physician Network | Clinic/Center | 801 7th Ave, Fort Worth, TX 76104-2733 | 2016-10-21 |
| 1235276130 | Cook Children's Physician Network | Emergency Medicine | 801 7th Ave, Fort Worth, TX 76104-2733 | 2007-01-31 |
| 1548230923 | Cook Children's Physician Network | Pediatrics | 1300 W Lancaster Ave, Fort Worth, TX 76102 | 2006-01-26 |
| 1669442042 | Cook Children's Physician Network | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-01-26 |
| 1750369203 | Cook Children's Physician Network | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COOK CHILDREN'S PHYSICIAN NETWORK | 801 7th Ave, Fort Worth, TX 76104-2733 |
| Street Address |
801 7TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315010 | Jon Michael Badgwell | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2005-06-08 |
| 1609482884 | Tiffani Christensen | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2796 | 2020-09-22 |
| 1528676723 | Kaitlin Renee Noyes | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-07-14 |
| 1114567369 | Lauren Elizabeth Walker | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-01-15 |
| 1124667753 | Kirsten A Gomez | Social Worker | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-30 |
| 1841838448 | Mark Cole Carrillo | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-13 |
| 1326686148 | Erica Burton | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-11 |
| 1689217432 | Claire Koskie | Dietitian, Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-10-24 |
| 1437709243 | Rhonda Maritza Andi | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-09-13 |
| 1972061034 | Katharine Avery Molloy | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| 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 |
|---|---|---|---|---|
| 1376165191 | Telemedicine Advantage Concierge Urgent Care | Pediatrics | 4200 South Fwy Ste 100, Fort Worth, TX 76115-1407 | 2020-05-14 |
| 1942776638 | Melissa S Wright | Pediatrics | 6115 Camp Bowie Blvd, Fort Worth, TX 76116-5512 | 2018-10-19 |
| 1366975336 | Pragadeeswari Dhanasekaran | Pediatrics | 5887 Chesapeake Pl, Fort Worth, TX 76132-2660 | 2017-04-06 |
| 1275898280 | Suvarna Kolluri | Pediatrics | 9509 N Beach St Ste 102, Fort Worth, TX 76244-6399 | 2012-07-06 |
| 1881999613 | Joyce Keck Rafati | Pediatrics | 1263 W Rosedale St, Fort Worth, TX 76104-2801 | 2011-01-26 |
| 1386886802 | Eriel Hayes | Pediatrics | 3200 Riverfront Dr Ste 103, Fort Worth, TX 76107-6560 | 2009-03-30 |
| 1194980011 | Cherryll Phoebe Taruc Libed | Pediatrics | 4701 Bryant Irvin Rd. N, Jps Viola Pitts/como, Fort Worth, TX 76107-4917 | 2008-07-21 |
| 1366605735 | Carolyn Margaret Lentzsch-parcells | Pediatrics | 4200 South Hulen Stree, Suite 450, Fort Worth, TX 76109 | 2008-07-07 |
| 1366627655 | Courtney M Carter | Pediatrics | 3201 Western Center Blvd, Suite 125, Fort Worth, TX 76137-7134 | 2008-01-04 |
| 1902017494 | Raheela Hafeez,m.d., P.a. | Pediatrics | 855 Montgomery Street, Fort Worth, TX 76107-2553 | 2007-05-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.