Blake W Palmer (NPI# 1013066398, PAC ID# 1052582749) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1013066398 |
| PAC ID by PECOS | 1052582749 |
| Professional Enrollment ID | I20160928001640 |
| Full Name | Blake W Palmer |
| Organization Legal Name | COOK CHILDRENS PHYSICIAN NETWORK |
| Address |
136 El Chico Trl Suite 102 Willow Park TX 76087-8864 |
| Phone Number | 8174415412 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 7719884584 |
| Number of Group Practice Members | 127 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 453300 | COOK CHILDRENS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2530 Scripture St, Denton, TX 76201-4317 | 9402430104 | COOK CHILDRENS PHYSICIAN NETWORK |
| 750 8th Ave, Fl 6, Fort Worth, TX 76104-2515 | COOK CHILDRENS PHYSICIAN NETWORK | |
| 801 7th Ave, Fort Worth, TX 76104-2733 | 8178854000 | COOK CHILDRENS PHYSICIAN NETWORK |
| 801 7th Ave, Ft Worth, TX 76104-2733 | 8178707946 | COOK CHILDRENS PHYSICIAN NETWORK |
| 136 El Chico Trl, Suite 102, Willow Park, TX 76087-8864 | 8174415412 | COOK CHILDRENS PHYSICIAN NETWORK |
| Organization Legal Name | COOK CHILDRENS PHYSICIAN NETWORK |
| Physicians | 262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Barker | Cardiac Electrophysiology | Cook Childrens Physician Network | 1500 Cooper St, Fort Worth, TX 76104-2710 |
| Deborah S Vert | Pediatric Medicine | Cook Childrens Physician Network | 225 Se John Jones Dr, Burleson, TX 76028-8342 |
| Michael James Deitchman | Pediatric Medicine | Cook Childrens Physician Network | 731 Martin Rd, Hurst, TX 76054-2703 |
| Tina Grace Barbaro Dieber | Pediatric Medicine | Cook Childrens Physician Network | 750 8th Ave, Suite 200, Fort Worth, TX 76104-2500 |
| Ariel Brautbar | Pediatric Medicine | Cook Childrens Physician Network | 1300 W Lancaster Ave, Suite 204, Fort Worth, TX 76102-3490 |
| Chandra Beals | Anesthesiology | Cook Childrens Physician Network | 801 7th Ave, Fort Worth, TX 76104-2733 |
| Jeremy S Baker | Pediatric Medicine | Cook Childrens Physician Network | 2043 Fm, 423 Suite 110, Little Elm, TX 75068-6640 |
| Susan L Hess | Cardiovascular Disease (cardiology) | Cook Childrens Physician Network | 2727 E Southlake Blvd, Southlake, TX 76092-6613 |
| Stephen Lai | Pediatric Medicine | Cook Childrens Physician Network | 3121 S Ctr St, Arlington, TX 76014-2007 |
| Alice A Basinger | Medical Genetics and Genomics | Cook Childrens Physician Network | 2530 Scripture St, Denton, TX 76201-4317 |
| Street Address |
136 EL CHICO TRL SUITE 102 |
| City | WILLOW PARK |
| State | TX |
| Zip | 76087-8864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristal L Woldu | Cardiovascular Disease (cardiology) | Cook Childrens Physician Network | 136 El Chico Trl, Suite 102, Willow Park, TX 76087-8864 |
| Kristin Meyertholen Favela | Pediatric Medicine | Cook Childrens Physician Network | 136 El Chico Trl, Suite 102, Willow Park, TX 76087-8864 |
| Joel W Steelman | Endocrinology | Cook Childrens Physician Network | 136 El Chico Trl, Suite 102, Willow Park, TX 76087-8864 |
| Deborah A Schutte | Cardiovascular Disease (cardiology) | Cook Childrens Physician Network | 136 El Chico Trl, Suite 102, Willow Park, TX 76087-8864 |
| Jane A Keng | Gastroenterology | Cook Childrens Physician Network | 136 El Chico Trl, Suite 102, Willow Park, TX 76087-8864 |
| James Hudson Allender | Cardiovascular Disease (cardiology) | Cook Childrens Physician Network | 136 El Chico Trl, Suite 102, Willow Park, TX 76087-8864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell S Wood | Psychologist, Clinical | 4971 E I-20 Service Rd N, Suite 403, Willow Park, TX 76087 | |
| Alan R Hall | Family Medicine | 201 S Oakridge Dr, Oakridge Urgent Care, Hudson Oaks, TX 76087-1793 | |
| Nadeem Ahmed Khan | Emergency Medicine | Tri Cities Urgent Care Pllc | 123 S Ranch House Rd, Willow Park, TX 76087-2649 |
| Brent E Gooden | Nurse Practitioner | Tri Cities Urgent Care Pllc | 123 S Ranch House Rd, Willow Park, TX 76087-2649 |
| Tarah Renee-brixey Bertzyk | Physician Assistant | Tri Cities Urgent Care Pllc | 123 S Ranch House Rd, Willow Park, TX 76087-2649 |
| Scott M Pratho | Emergency Medicine | Tri Cities Urgent Care Pllc | 123 S Ranch House Rd, Willow Park, TX 76087-2649 |
| Shelly Ramsey Powers | Clinical Social Worker | Senior Mental Health Solutions, Lp | 109 Manor Court N, Willow Park, TX 76087-3002 |
| Judith Michele Saunders | Clinical Social Worker | Senior Mental Health Solutions, Lp | 109 Manor Court N, Willow Park, TX 76087-3002 |
| Chandralekha Krishnamurthy | Clinical Social Worker | Senior Mental Health Solutions, Lp | 109 Manor Court N, Willow Park, TX 76087-3002 |
| Brooke Bolliger | Clinical Social Worker | Senior Mental Health Solutions, Lp | 109 Manor Court N, Willow Park, TX 76087-3002 |
| Find all physicians in zip 76087 | |||
| City | WILLOW PARK |
| Zip Code | 76087 |
| Specialty | UROLOGY |
| City + Specialty | WILLOW PARK + UROLOGY |
Please comment or provide details below to improve the information on Blake W Palmer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.