KRISTAL L WOLDU (NPI# 1134446073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134446073 |
| Entity Type | Individual |
| Full Name | KRISTAL L WOLDU |
| Other Name | KRISTAL LARSEN |
| Credential | M.D. |
| Practice Address |
1500 Cooper St Fl 3 Fort Worth TX 76104-2710 |
| Practice Telephone | (682) 885-4197 |
| Mailing Telephone | (682) 885-4197 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2017-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Q9093 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1500 COOPER ST FL 3 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669761524 | Danielle Marie Moye | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2011-03-31 |
| 1629245915 | Robert Horvath-csongradi | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2008-05-15 |
| 1407021868 | Steve Muyskens | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2008-04-28 |
| 1003081308 | Gregory Barker | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2008-04-28 |
| 1891907416 | Adrian Kay Dyer | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-05-04 |
| 1760510929 | James Andrew Kuo | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-03-01 |
| 1912094053 | Matthew V Dzurik | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-09 |
| 1891889754 | Deborah A Schutte | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-03 |
| 1073606158 | Susan L Hess | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-02 |
| 1548353634 | Stephen Lai | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-02 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on KRISTAL L WOLDU.
| 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.