ROBERT S GILLESPIE


Address: 1500 Cooper St, Fort Worth, TX 76104-2710
Phone: 6828854260

ROBERT S GILLESPIE (NPI# 1912043738) 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) 1912043738
Entity Type Individual
Full Name ROBERT S GILLESPIE
Credential MD
Practice Address 1500 Cooper St
Fort Worth
TX 76104-2710
Mailing Address Po Box 99371
Fort Worth
TX 76199-0371
Practice Telephone 6828854260
Practice Fax Number 6828852874
Mailing Telephone 6828851855
Mailing Fax Number 6828857347
Enumeration Date 2007-01-29
Last Update Date 2012-04-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0210X Pediatrics
Specialization: Pediatric Nephrology
L6910 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE GROUP NUMBER 00U87Z 01
TX CSHCN GROUP NUMBER 150220509 01
TX 161201203 05
TX CSHCN NUMBER 161201204 01
TX MEDICAID GROUP NUMBER 140442852 01
TX CSHCN NUMBER 161201206 01
MEDICARE GROUP NUMBER 00257T 01
TX CSHCN GROUP NUMBER 137345810 01
TX 161201205 05
TX MEDICAID GROUP NUMBER 150220508 01

Other Providers ROBERT GILLESPIE

NPI Name Taxonomy Address Enumeration
1952465379 Robert Gillespie Physical Therapist 420 N Higgins Ave Ste B, Missoula, MT 59802-4524 2006-12-20
1356360036 Robert Andrew Gillespie Psychologist 14561 N Outer 40, Chesterfield, MO 63017-5703 2006-07-19
1417941675 Robert David Gillespie Audiologist 808 Joy St, Paris, TN 38242-4540 2005-09-02
1730625567 Robert B Gillespie Licensed Practical Nurse 2601 Parklawn Dr, Kettering, OH 45440-1251 2017-01-18
1053525907 Robert James Gillespie Orthopaedic Surgery 11000 Euclid Ave, Cleveland, OH 44106-1714 2007-05-10
1154463628 Robert Kendall Gillespie Physical Therapist 5651 Frist Blvd, Suite 400, Hermitage, TN 37076-2054 2007-02-13
1740290873 Robert Lee Gillespie Internal Medicine 16950 Via Tazon, San Diego, CA 92127-1607 2006-08-09
1871517243 Robert Joseph Gillespie Counselor 1619 Monroe St, Integral Psychology Center, Madison, WI 53711-2063 2006-07-27
1922026467 Robert Todd Gillespie Physician Assistant 220 Bannock St, Suite B, Malad City, ID 83252-1256 2006-07-17
1043209067 Robert J Gillespie Pediatrics 9555 Sw Barnes Rd, Ste 301, Portland, OR 97225 2005-10-21

Office Location

Street Address 1500 COOPER ST
City FORT WORTH
State TX
Zip Code 76104-2710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497747653 Luciana Rochetti Physician Assistant 1500 Cooper St, Fort Worth, TX 76104-2710 2005-08-15
1821696493 Leekelli Kennedy Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2020-10-15
1871109124 Caitlyn R Praytor Nurse Practitioner 1500 Cooper St, Fort Worth, TX 76104-2710 2020-09-22
1497389126 Chelsea Barrow Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2020-03-03
1386281871 Emily Susan Larkin Nurse Practitioner 1500 Cooper St, Fort Worth, TX 76104-2710 2019-12-04
1508416629 Christa Standefer Family Medicine 1500 Cooper St, Fort Worth, TX 76104-2710 2019-09-19
1972153112 Alexis Courtney Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-09-19
1366099376 Haley Tullos Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-08-23
1538716139 Amanda Rae Macdonald Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-08-20
1730731498 Erin Walkley Dietitian, Registered 1500 Cooper St, Fort Worth, TX 76104-2710 2019-07-12
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0210X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Nephrology

Taxonomy Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750608170 Celina D Cepeda Pediatrics 1500 Cooper St, Fort Worth, TX 76104-2710 2010-04-24
1558511071 Randa Razzouk Pediatrics 1500 Cooper St, Fort Worth, TX 76104-2710 2008-09-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265859755 Peace Dorothy Imani Pediatrics 1102 Bates Ave., Baylor College of Medicine, Houston, Tx, TX 77030 2014-03-24
1356762256 L. L. Hill Pediatrics 4906 Tilbury, Houston, TX 77056-2214 2013-12-18
1154640324 Khurrum Siddique Pediatrics 2821 Michaelangelo Dr Ste 101, Edinburg, TX 78539-1411 2010-05-26
1194053496 Jack Moncrief Group, Pa Pediatrics 800 West 34th Street, Suite 101, Austin, TX 78705 2009-11-24
1922272236 Alvaro Hernando Orjuela Pediatrics 1102 Bates Ave Ste 260, Houston, TX 77030-2619 2008-04-17
1417157215 Catherine Joseph Pediatrics 1102 Bates Ave Ste 245, Houston, TX 77030-2619 2007-07-19
1003916172 Jose F Pascual-baralt Pediatrics 7419 Round Mtn, San Antonio, TX 78255-1159 2006-09-25
1962519033 Mazen Arar Pediatrics 333 N Santa Rosa, 2nd Fl, San Antonio, TX 78207 2006-08-24
1376905596 Caroline Elizabeth Jarrell Pediatrics 6701 Fannin St, Houston, TX 77030-2608 2016-03-26
1093154379 Ali Kareem Kurady Pediatrics 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 2013-06-19
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Competitor

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City FORT WORTH
Zip Code 76104

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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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