COOK CHILDREN'S PHYSICIAN NETWORK (NPI# 1255882411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255882411 |
| Entity Type | Organization |
| Organization Name | COOK CHILDREN'S PHYSICIAN NETWORK |
| Other Organization Name | COOK CHILDREN'S URGENT CARE CENTER |
| Practice Address |
801 7th Ave Fort Worth TX 76104-2733 |
| Mailing Address |
Po Box 9044 Belfast ME 04915-9044 |
| Practice Telephone | 6828856800 |
| Practice Fax Number | 6828851903 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857337 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | WILLIAM B NELSON (PRESIDENT) |
| Authorized Official Telephone | 6828857549 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK CHILDREN'S PHYSICIAN NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI PHYSICIAN GROUP | 1467903088 | 01 |
| Other Name | Type Code |
|---|---|
| COOK CHILDREN'S URGENT CARE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467903088 | Cook Children's Physician Network | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2016-10-19 |
| 1235276130 | Cook Children's Physician Network | Emergency Medicine | 801 7th Ave, Fort Worth, TX 76104-2733 | 2007-01-31 |
| 1548230923 | Cook Children's Physician Network | Pediatrics | 1300 W Lancaster Ave, Fort Worth, TX 76102 | 2006-01-26 |
| 1669442042 | Cook Children's Physician Network | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-01-26 |
| 1750369203 | Cook Children's Physician Network | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COOK CHILDREN'S PHYSICIAN NETWORK | 801 7th Ave, Fort Worth, TX 76104-2733 |
| Street Address |
801 7TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315010 | Jon Michael Badgwell | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2005-06-08 |
| 1609482884 | Tiffani Christensen | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2796 | 2020-09-22 |
| 1528676723 | Kaitlin Renee Noyes | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-07-14 |
| 1114567369 | Lauren Elizabeth Walker | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-01-15 |
| 1124667753 | Kirsten A Gomez | Social Worker | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-30 |
| 1841838448 | Mark Cole Carrillo | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-13 |
| 1326686148 | Erica Burton | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-11 |
| 1689217432 | Claire Koskie | Dietitian, Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-10-24 |
| 1437709243 | Rhonda Maritza Andi | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-09-13 |
| 1972061034 | Katharine Avery Molloy | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-03-07 |
| Find all providers in the same location | ||||
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554548 | Quikcare Urgent Care LLC | Clinic/Center | 12485 Timberland Blvd, Fort Worth, TX 76244-5598 | 2018-07-13 |
| 1467990630 | Cec Lakeway Urgent Care Physicians | Clinic/Center | 1900 W. Everman Parway, Fort Worth, TX 76134-4326 | 2017-02-07 |
| 1760928022 | Medspring of Texas Pa | Clinic/Center | 3701 Vision Dr, #101, Fort Worth, TX 76109-1182 | 2017-01-11 |
| 1043685704 | Medspring of Texas Pa | Clinic/Center | 8901 North Fwy, Fort Worth, TX 76177-7613 | 2015-12-07 |
| 1407224850 | Cd Urgent Care Center 5, Pllc | Clinic/Center | 3020 W 7th St, Suite 210, Fort Worth, TX 76107-9202 | 2015-09-02 |
| 1700075439 | American Current Care, P.a. | Clinic/Center | 2500 West Frwy, Suite 100, Fort Worth, TX 76102 | 2007-10-18 |
| 1336746080 | Vine Urgent Care Pllc | Clinic/Center | 1661 Eastchase Pkwy, Fort Worth, TX 76120-4407 | 2020-10-06 |
| 1093215477 | Cook Children's Medical Center | Clinic/Center | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2018-02-13 |
| 1225570443 | Pediatric Urgent Care Center of Fort Worth, Pa | Clinic/Center | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177-8605 | 2016-11-07 |
| 1255799334 | Cook Children's Medical Center | Clinic/Center | 10601 N Riverside Dr, Fort Worth, TX 76244-2118 | 2016-02-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on COOK CHILDREN'S PHYSICIAN NETWORK.
| 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.