COOK CHILDREN'S MEDICAL CENTER (NPI# 1538669916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538669916 |
| Entity Type | Organization |
| Organization Name | COOK CHILDREN'S MEDICAL CENTER |
| Other Organization Name | COOK CHILDRENS URGENT CARE GROUP |
| Practice Address |
1401 W Pulaski St Fort Worth TX 76104-2717 |
| Mailing Address |
Po Box 99213 Fort Worth TX 76199-0213 |
| Practice Telephone | 6828858012 |
| Practice Fax Number | 6828858014 |
| Mailing Telephone | 6828851860 |
| Mailing Fax Number | 6828851396 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-03-17 |
| 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 GROUP | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6316 Precinct Line Rd Ste A, Hurst, TX 760542766 | 8176052500 | 8176052983 |
| 801 Matlock Rd, Mansfield, TX 760639174 | 8173478400 | 8173478495 |
| 2727 E Southlake Blvd, Southlake, TX 760926613 | 6828856000 | 6828856050 |
| 10601 N Riverside Dr, Fort Worth, TX 762442118 | 8173472600 | 8173472670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104383983 | Cook Children's Medical Center | Clinic/Center | 4300 W University Dr, Prosper, TX 75078-9806 | 2019-02-27 |
| 1326548280 | Cook Children's Medical Center | Pediatrics | 6316 Precinct Line Rd Ste A, Hurst, TX 76054-2766 | 2018-02-17 |
| 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 |
| 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 |
1401 W PULASKI ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689668857 | Cathleen M Delaney | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2005-09-02 |
| 1356941066 | Ashley Dyok | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2020-10-30 |
| 1669072112 | Kelly Moore | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2020-10-26 |
| 1316561012 | Kylie R Cherry | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2020-05-29 |
| 1295371037 | Katelyn M Okaro | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2019-11-26 |
| 1174166573 | Caroline W Sims | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2019-10-18 |
| 1487121752 | Ashley A Hickman | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2018-10-25 |
| 1093215477 | Cook Children's Medical Center | Clinic/Center | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2018-02-13 |
| 1437692464 | Emiliee Robinson | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2016-11-22 |
| 1952843781 | Valerie Kimbrough | Physician Assistant | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2016-11-10 |
| 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.