FORT WORTH PEDIATRICS


Address: 6401 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6101
Phone: 8173462525

FORT WORTH PEDIATRICS (NPI# 1629300603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629300603
Entity Type Organization
Organization Name FORT WORTH PEDIATRICS
Practice Address 6401 Harris Pkwy
Suite 100
Fort Worth
TX 76132-6101
Mailing Address 5708 Edwards Ranch Road
Fort Worth
TX 76109
Practice Telephone 8173462525
Practice Fax Number 8172941692
Mailing Telephone 8173364040
Mailing Fax Number 8173366780
Enumeration Date 2010-02-02
Last Update Date 2011-06-15
Authorized Official Name DIANE RICHEY (ADMINISTRATOR)
Authorized Official Telephone 8173364040
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 130900705 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710219795 Fort Worth Pediatrics Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2010-02-02
1801128889 Fort Worth Pediatrics Pediatrics 5708 Edwards Ranch Road, Fort Worth, TX 76109 2010-02-02
1407808652 Fort Worth Pediatrics Pediatrics 5708 Edwards Ranch Road, Fort Worth, TX 76109 2006-05-16

Office Location

Street Address 6401 HARRIS PKWY
SUITE 100
City FORT WORTH
State TX
Zip Code 76132-6101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295792604 Lisa M. Guthrie Pediatrics 6401 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6101 2006-04-28
1447555313 John W Obbink, Jr. M.d., P.a. Clinic/Center 6401 Harris Pkwy, Suite 120, Fort Worth, TX 76132-6101 2011-01-24
1760502835 Fort Worth Pediatrics, P.a. Pediatrics 6401 Harris Pkwy, Suite100, Fort Worth, TX 76132-6101 2007-03-30
1023026341 John W Obbink Jr. Family Medicine 6401 Harris Pkwy, Suite 120, Fort Worth, TX 76132-6101 2006-08-03
1972561850 Julee S. Morrow Pediatrics 6401 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6101 2006-05-02
1063470862 Ray N. Rhodes Jr. Pediatrics 6401 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6101 2006-05-02
1881652865 Walter H. Halpenny Pediatrics 6401 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6101 2006-05-01
1699732016 Tamara L. Hayward Pediatrics 6401 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6101 2006-04-28
1114984564 J. Ben Worsley Pediatrics 6401 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6101 2006-04-28

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710219795 Fort Worth Pediatrics Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2010-02-02
1801128889 Fort Worth Pediatrics Pediatrics 5708 Edwards Ranch Road, Fort Worth, TX 76109 2010-02-02
1760502835 Fort Worth Pediatrics, P.a. Pediatrics 6401 Harris Pkwy, Suite100, Fort Worth, TX 76132-6101 2007-03-30
1972623031 Fort Worth Pediatrics, P.a. Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2007-03-30
1407808652 Fort Worth Pediatrics Pediatrics 5708 Edwards Ranch Road, Fort Worth, TX 76109 2006-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619440450 Wishing Well Children's Clinic, Pllc Pediatrics 1259 Fm 1463, Suite 300, Katy, TX 77494 2019-01-04
1447789250 Ab Pediatric Health Clinic Pllc Pediatrics 1400 N El Paso St Ste E, El Paso, TX 79902-3438 2017-06-06
1205284619 Asha Davidson Pediatrics 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 2016-05-25
1295113538 Chandra Garvey Pediatrics 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 2015-05-06
1588099360 Jennifer L Pitts Pediatrics 23920 Katy Fwy Ste 150, Katy, TX 77494-0881 2013-09-11
1699018705 Steven Anthony Ricondo Pediatrics 6701 Fannin St Ste 1710, Houston, TX 77030-2616 2013-03-27
1568708006 Marvin Ray Raley Pediatrics 1221 Welch St Apt 2, Houston, TX 77006-1180 2013-01-02
1346575867 Andre Youssef Zarzour Pediatrics 8615 Herts Rd, Spring, TX 77379-6720 2009-10-16
1386885499 Rockwall Medical Association, Pa Pediatrics 114 Kenway St, Rockwall, TX 75087-3536 2009-03-19
1851576516 Elgin Pediatrics, Pa Pediatrics 214 Highway 290 E, Elgin, TX 78621-3214 2007-12-31
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Competitor

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City FORT WORTH
Zip Code 76132

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Dataset Information

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.

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