Mark B Kipp (NPI# 1235108895, PAC ID# 8022922376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1235108895 |
| PAC ID by PECOS | 8022922376 |
| Professional Enrollment ID | I20031119000494 |
| Full Name | Mark B Kipp |
| Organization Legal Name | EL DORADO URGENT CARE, PLLC |
| Address |
5500 Sycamore School Rd Suite 100 Fort Worth TX 76123-3053 |
| Phone Number | 6827079707 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0547528887 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670116 | WISE HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 7214 Crawford Rd, Suite 100, Argyle, TX 76226-2583 | 9402932888 | SYNERGY EMERGENCY CONSULTANTS PLLC |
| 7214 Crawford Rd, Suite 150, Argyle, TX 76226-2583 | 9402932888 | CHISHOLM TRAIL URGENT CARE PLLC |
| 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 | 6827079707 | EL DORADO URGENT CARE, PLLC |
| Organization Legal Name | EL DORADO URGENT CARE, PLLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane Cole | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Don A Church | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Jon T Beezley | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Harry S Miller | Family Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Gregory A Mathios | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Richard B Neville | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Rattapol Srisinroongruang | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| James R Wright | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Charles R Heflin | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Matthew Harrison | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Street Address |
5500 SYCAMORE SCHOOL RD SUITE 100 |
| City | FORT WORTH |
| State | TX |
| Zip | 76123-3053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane Cole | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Don A Church | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Jon T Beezley | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Harry S Miller | Family Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Gregory A Mathios | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Richard B Neville | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Rattapol Srisinroongruang | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| James R Wright | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Charles R Heflin | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Matthew Harrison | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Saunders | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123 |
| Carl James Kissling | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123 |
| Ashley Michelle Varner | Podiatry | 8005 Pretoria Pl, Fort Worth, TX 76123-1832 | |
| Charles Andrew Mccall | Clinical Social Worker | Deer Oaks Geriatric Services P C | 7100 Trail Lake Dr, Fort Worth, TX 76123-1969 |
| Andre Vlok | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 |
| Michael S Balkin | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Kie Y Lee | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Linh Huynh | General Practice | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Emil Soleyman-zomalan | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Travis E Coates | Emergency Medicine | El Dorado Urgent Care, Pllc | 5500 Sycamore School Rd, Suite 100, Fort Worth, TX 76123-3053 |
| Find all physicians in zip 76123 | |||
| City | FORT WORTH |
| Zip Code | 76123 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FORT WORTH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark B Kipp.
| 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.