DR. CHRISTOPHER MARK RIPPERDA (NPI# 1790001360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790001360 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER MARK RIPPERDA |
| Credential | M.D. |
| Practice Address |
1250 8th Ave Ste 330 Fort Worth TX 76104-4148 |
| Mailing Address |
Po Box 961205 Fort Worth TX 76161-1205 |
| Practice Telephone | 8179235559 |
| Practice Fax Number | 8179243222 |
| Mailing Telephone | 8177408450 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Q1005 | TX | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Q1005 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 339897603 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 Village Rd Ste 112, Granbury, TX 760494194 | 8179235559 | 8179243222 |
| Street Address |
1250 8TH AVE STE 330 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659531 | Crystal Renee Holden | Nurse Practitioner | 1250 8th Ave Ste 330, Fort Worth, TX 76104-4148 | 2019-09-25 |
| 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 | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306161112 | Casey Lynn Kinman | Obstetrics & Gynecology | 2001 N Macarthur Blvd Ste 425, Irving, TX 75061-2299 | 2010-04-05 |
| 1497999197 | Rebecca James | Obstetrics & Gynecology | 400 Rosalind Redfern Grover Pkwy Ste 230, Midland, TX 79701-5856 | 2009-04-24 |
| 1609842178 | Nina H Dereska | Obstetrics & Gynecology | 17510 W. Grand Parkway S., Suite #500, Houston, TX 77479 | 2006-02-24 |
| 1629685557 | Highland Gynecology Pllc | Obstetrics & Gynecology | 1680 Antilley Rd Ste 350, Abilene, TX 79606-5266 | 2020-09-24 |
| 1245889617 | Rebecca James Md Pllc | Obstetrics & Gynecology | 400 Rosalind Redfern Grover Pkwy Ste 230, Midland, TX 79701-5856 | 2019-09-09 |
| 1811365802 | South Texas Urogynecology Pllc | Obstetrics & Gynecology | 540 Madison Oak Dr, Suite 570, San Antonio, TX 78258-3943 | 2015-09-08 |
| 1609268960 | The Center for Womens Sexual Health, Inc | Obstetrics & Gynecology | 1315 St Joseph Pkwy, Suite 1306, Houston, TX 77002-8233 | 2015-02-24 |
| 1518364223 | Women's Pelvic Restorative Center, Pllc | Obstetrics & Gynecology | 7900 Fannin St, Suite 4000, Houston, TX 77054-2934 | 2014-11-24 |
| 1245677582 | Rachel Alice High | Obstetrics & Gynecology | 911 W 38th St Ste 202, Austin, TX 78705-1107 | 2013-05-28 |
| 1366527392 | Gokhan Kilic | Obstetrics & Gynecology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
| 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.