CHILDREN'S MEDICAL CENTER (NPI# 1003912197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003912197 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S MEDICAL CENTER |
| Practice Address |
1935 Motor St Dallas TX 75235-7701 |
| Mailing Address |
2300 Mesa Oak Trl Plano TX 75025-4721 |
| Practice Telephone | 2144566660 |
| Practice Fax Number | 2144566696 |
| Mailing Telephone | 2142809267 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | MR. BOUAPHANE HONGKEO (PA FOR PEDIATRIC NEUROSURGERY) |
| Authorized Official Telephone | 2144566660 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
PA04770 | TX | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982849840 | Children's Medical Center | Student in an Organized Health Care Education/Training Program | Saereethai Road, 4/938 Soi 34/2 Shakorn Village, Bangkok, BUENGKUM 10240 | 2008-12-07 |
| 1386911907 | Children's Medical Center | Social Worker | 1625 Marion St, Denver, CO 80218-1514 | 2011-11-28 |
| 1790974111 | Children's Medical Center | Pediatrics | 15465 Oak Ln, Suite 100 F, Gulfport, MS 39503-2663 | 2007-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDREN'S MEDICAL CENTER | One Children'S Plz, Dayton, OH 45404-1873 |
| Oklahoma Business Registrations | CHILDREN'S MEDICAL CENTER | Po Box 35648, Tulsa, OK 74153 |
| Oklahoma Business Registrations | CHILDREN'S MEDICAL CENTER CHARITY GOLF, INC. | |
| Vermont Business Registrations | CHILDREN'S MEDICAL CENTER CORPORATION THE | 300 Longwood Avenue, Boston, MA 02115 |
| Oklahoma Business Registrations | CHILDREN'S MEDICAL CENTER FOUNDATION | 110 W 7th St Ste 2630, Tulsa, OK 74119 |
| Virginia Business Entities | CHILDREN'S MEDICAL CENTER LTD. | 15 Cleveland Ave, Ste 14, Martinsville, Virginia 24112 |
| System for Award Management (SAM) Entities | CHILDREN'S MEDICAL CENTER OF DALLAS | 1935 Medical District Dr, Dallas, TX 75235-7701 |
| Street Address |
1935 MOTOR ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613085 | Gail S. Brookshire | Genetic Counselor, MS | 1935 Motor St, Dallas, TX 75235-7701 | 2005-10-14 |
| 1982882015 | Natalie Mcpeters | Counselor | 1935 Motor St, Dallas, TX 75235-7701 | 2008-01-31 |
| 1548447618 | Kathryn Vanarsdale Sternweis | Psychologist | 1935 Motor St, Dallas, TX 75235-7701 | 2008-01-30 |
| 1972789055 | Jaton Pankau | Dietitian, Registered | 1935 Motor St, Dallas, TX 75235-7701 | 2008-01-18 |
| 1821273327 | Stacey Ann Scott | Nurse Practitioner | 1935 Motor St, Dallas, TX 75235-7701 | 2008-01-02 |
| 1023299559 | Deborah Jean Boger | Nurse Practitioner | 1935 Motor St, Dallas, TX 75235-7701 | 2007-11-27 |
| 1598945362 | Elizabeth Ann Miranda | Nurse Practitioner | 1935 Motor St, Childrens Medical Center Pavillion 4th Floor, Dallas, TX 75235-7701 | 2007-11-09 |
| 1861683146 | Childrens Medical Center of Dallas | General Acute Care Hospital | 1935 Motor St, Dallas, TX 75235-7701 | 2007-08-05 |
| 1609067735 | Mirna Escalante | Pediatrics | 1935 Motor St, Dallas, TX 75235-7701 | 2007-08-05 |
| 1750571014 | Sarah Balck Dacey | Pediatrics | 1935 Motor St, Dallas, TX 75235-7701 | 2007-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134596331 | Pediatric Acute Care Associates of N.tx, Pllc | General Acute Care Hospital | 7777 Forest Ln, D569, Dallas, TX 75230-2571 | 2015-08-24 |
| 1710240965 | Victor Alekseyevich Puzevich | General Acute Care Hospital | 1935 Medical District Drive, Neurosurgeons for Children, Dallas, TX 75235 | 2012-06-22 |
| 1245592997 | Ut Southwestern Medical Center | General Acute Care Hospital | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2012-06-08 |
| 1700183860 | Children's Medical Center Dallas | General Acute Care Hospital | 1935 Medical District Dr, Wayfind D7023, Dallas, TX 75235-7701 | 2011-02-24 |
| 1295978807 | Kathleen Morgan Speer | General Acute Care Hospital | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2009-04-13 |
| 1861683146 | Childrens Medical Center of Dallas | General Acute Care Hospital | 1935 Motor St, Dallas, TX 75235-7701 | 2007-08-05 |
| 1760681266 | Ut Southwestern | General Acute Care Hospital | 1935 Motor St, Dallas, TX 75235-7701 | 2007-07-13 |
| 1144363961 | Children's Medical Center Dallas | General Acute Care Hospital | 1935 Motor St, Dallas, TX 75235-7701 | 2007-02-14 |
| 1851458038 | Childrens Medical Center Dallas | General Acute Care Hospital | 1935 Motor St, Dallas, TX 75235-7701 | 2007-01-03 |
| 1346306719 | Children's Medical Center of Dallas | General Acute Care Hospital | 1935 Motor St, Dallas, TX 75235-7701 | 2006-12-29 |
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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.