ACUTE KIDS URGENT CARE OF MEDICAL CITY CHILDREN'S HOSPITAL PLLC (NPI# 1164797791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164797791 |
| Entity Type | Organization |
| Organization Name | ACUTE KIDS URGENT CARE OF MEDICAL CITY CHILDREN'S HOSPITAL PLLC |
| Practice Address |
3305 Dallas Pkwy Suite 345 Plano TX 75093 |
| Mailing Address |
Po Box 742091 Atlanta GA 30374-2091 |
| Practice Telephone | 9723004200 |
| Practice Fax Number | 9723004201 |
| Mailing Telephone | 9727457500 |
| Mailing Fax Number | 9727454336 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | MRS. RHONDA MCKINNEY (AVP REVENUE CYCLE URGENT CARE) |
| Authorized Official Telephone | 9729068107 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST LPN, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3305 DALLAS PKWY SUITE 345 |
| City | PLANO |
| State | TX |
| Zip Code | 75093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982777298 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 3305 Dallas Pkwy, Plano, TX 75093-7797 | 2006-11-16 |
| 1437758208 | Hai Hoang | Pharmacist | 3305 Dallas Pkwy, Plano, TX 75093-7797 | 2020-10-22 |
| 1861091563 | Greg Wright | Pharmacist | 3305 Dallas Pkwy, Plano, TX 75093-7797 | 2020-10-22 |
| 1750980132 | Joshua Scott Fugate | Pharmacist | 3305 Dallas Pkwy, Plano, TX 75093-7797 | 2020-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962502294 | Laura Cavanaugh | Pediatrics | 7000 W Plano Pkwy, Suite 110, Plano, TX 75093-8466 | 2006-09-25 |
| 1114964426 | Marcy L Berry | Pediatrics | 2109 W Spring Creek Pkwy, Suite 300, Plano, TX 75023-4189 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440450 | Wishing Well Children's Clinic, Pllc | Pediatrics | 1259 Fm 1463, Suite 300, Katy, TX 77494 | 2019-01-04 |
| 1447789250 | Ab Pediatric Health Clinic Pllc | Pediatrics | 1400 N El Paso St Ste E, El Paso, TX 79902-3438 | 2017-06-06 |
| 1205284619 | Asha Davidson | Pediatrics | 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 | 2016-05-25 |
| 1295113538 | Chandra Garvey | Pediatrics | 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 | 2015-05-06 |
| 1588099360 | Jennifer L Pitts | Pediatrics | 23920 Katy Fwy Ste 150, Katy, TX 77494-0881 | 2013-09-11 |
| 1699018705 | Steven Anthony Ricondo | Pediatrics | 6701 Fannin St Ste 1710, Houston, TX 77030-2616 | 2013-03-27 |
| 1568708006 | Marvin Ray Raley | Pediatrics | 1221 Welch St Apt 2, Houston, TX 77006-1180 | 2013-01-02 |
| 1346575867 | Andre Youssef Zarzour | Pediatrics | 8615 Herts Rd, Spring, TX 77379-6720 | 2009-10-16 |
| 1386885499 | Rockwall Medical Association, Pa | Pediatrics | 114 Kenway St, Rockwall, TX 75087-3536 | 2009-03-19 |
| 1851576516 | Elgin Pediatrics, Pa | Pediatrics | 214 Highway 290 E, Elgin, TX 78621-3214 | 2007-12-31 |
| Find all providers with the same taxonomy | ||||
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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.