GRAPEVINE PEDIATRIC CLINIC, PA (NPI# 1710010418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710010418 |
| Entity Type | Organization |
| Organization Name | GRAPEVINE PEDIATRIC CLINIC, PA |
| Practice Address |
1600 W College St Ste 60 Grapevine TX 76051-3580 |
| Practice Telephone | 8174887334 |
| Practice Fax Number | 8174216527 |
| Mailing Telephone | 8174887334 |
| Mailing Fax Number | 8174216527 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANTHONY MARK SCOTT (PRESIDENT) |
| Authorized Official Telephone | 8174887334 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
TX | Ambulatory Health Care Facilities |
| Street Address |
1600 W COLLEGE ST STE 60 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194175851 | Kimberly S. Marshall, M.d., P.a. | Clinic/Center | 1600 W College St, Suite 340, Grapevine, TX 76051-3580 | 2016-06-14 |
| 1952640781 | State of The Heart Cardiology | Clinic/Center | 3801 William D Tate Ave, Suite 850, Grapevine, TX 76051-8755 | 2013-02-14 |
| 1083963201 | Grapevine Rheumatology Clinic,llc | Clinic/Center | 210 N Park Blvd, Suite 107, Grapevine, TX 76051-6985 | 2012-09-04 |
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|---|---|---|---|---|
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| 1093326969 | Origin Spine Institute LLC | Clinic/Center | 9135 Katy Fwy Ste 300, Houston, TX 77024-1619 | 2020-08-13 |
| 1164061644 | Iari | Clinic/Center | 12606 Greenville Ave Ste 190b, Dallas, TX 75243-1921 | 2019-12-31 |
| 1366081192 | Sprout Chiropractic Pllc | Clinic/Center | 3421 W William Cannon Dr Ste 145, Austin, TX 78745-5002 | 2019-12-26 |
| 1902369101 | Banerji Plastic Surgery | Clinic/Center | 11914 Astoria Blvd Ste 580, Houston, TX 77089-5975 | 2019-04-13 |
| 1831653526 | Naveli Medical Services, Pllc | Clinic/Center | 9090 Gaylord Dr Ste 200, Houston, TX 77024-2948 | 2019-01-26 |
| 1740758606 | Landry's Elite Medical Enterprise, Pllc | Clinic/Center | 3204 Melody Peak Ln, Pearland, TX 77581-2555 | 2018-11-08 |
| 1982179602 | Spring Center of Hope | Clinic/Center | 20008 Champion Forest Dr Ste 1202, Spring, TX 77379-8697 | 2018-10-09 |
| 1609378801 | Express Anesthesia & Pain Management Consultants,pllc | Clinic/Center | 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 | 2018-03-02 |
| 1902313588 | Bbg Cosmetic and Plastic Surgery | Clinic/Center | 5930 W Parker Rd Ste 600, Plano, TX 75093-6420 | 2018-01-04 |
| Find all providers with the same taxonomy | ||||
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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.