INWOOD VILLAGE PEDIATRICS (NPI# 1336333806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336333806 |
| Entity Type | Organization |
| Organization Name | INWOOD VILLAGE PEDIATRICS |
| Other Organization Name | WESTCHESTER PEDIATRICS |
| Practice Address |
5470 W. Lovers Lane Suite 330 Dallas TX 75209 |
| Practice Telephone | 2149567337 |
| Practice Fax Number | 2144668289 |
| Mailing Telephone | 2149567337 |
| Mailing Fax Number | 2144668289 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | DR. TAMMY L KENNEDY (PARTNER/OWNER) |
| Authorized Official Telephone | 2149567337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
L4488 | TX | Ambulatory Health Care Facilities |
| Y | 208000000X | Pediatrics | L4488 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WESTCHESTER PEDIATRICS | Former Legal Business Name - Organization |
| Street Address |
5470 W. LOVERS LANE SUITE 330 |
| City | DALLAS |
| State | TX |
| Zip Code | 75209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124077284 | Jane S Hamner | Pediatrics | 5470 W. Lovers Lane, Suite 330, Dallas, TX 75209 | 2006-05-08 |
| 1609945278 | Grace Victor Khouri | Pediatrics | 5470 W. Lovers Lane, #330, Dallas, TX 75209 | 2006-11-07 |
| 1629027792 | Tammy L. Broxson | Pediatrics | 5470 W. Lovers Lane, Suite 330, Dallas, TX 75209 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174995997 | Ahai, Pllc | Electrodiagnostic Medicine | 5600 W. Lovers Lane Suite 116 #282, San Antonio, TX 75209 | 2015-10-21 |
| 1790096691 | Lorri Lancashire | Counselor | 5600 W. Lovers Lane, Suite 317, Dallas, TX 75209 | 2010-06-24 |
| 1023248986 | Woodrow Gandy | Emergency Medicine | 5217 Shadywood Lane, Dallas, TX 75209 | 2009-07-24 |
| 1003044942 | Citydoc Urgent Care Center 2, Pllc | Clinic/Center | 5301 Lovers Lane, Dallas, TX 75209 | 2009-06-30 |
| 1174779169 | Judith-ann Marie Knowles | Chiropractor | 4400 W. University Blvd, #17706, Dallas, TX 75209 | 2008-08-11 |
| 1922122670 | Amy Lynn Rigby | Dentist | 4560 W Mockingbird Ln Ste 100, Dallas, TX 75209 | 2007-03-19 |
| 1407937683 | Brad Michael Forquer | Podiatrist | 7509 Inwood # 200, Dallas, TX 75209 | 2006-10-17 |
| 1578570396 | Benny L. Banks | Dentist | 4229 W Lovers Ln, Dallas, TX 75209 | 2006-08-02 |
| 1760430219 | Christina G Deuber | Pediatrics | 5470 W. Lovers Lane Ste 330, Dallas, TX 75209 | 2006-05-05 |
| 1548510647 | Robert G Stone | Surgery | 4015 Cochran Chapel Rd, Dallas, TX 75209-1501 | 2012-09-16 |
| Find all providers in zip 75209 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1982131363 | Julia C Durante | Pediatrics | 2350 N Stemmons Fwy Ste F5200, Dallas, TX 75207-2700 | 2017-05-17 |
| 1891235206 | Jill Whitehurst | Pediatrics | 6436 Glendora Ave, Dallas, TX 75230-5125 | 2017-03-03 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| 1144686601 | Souren Chakmakjian | Pediatrics | 3855 Branchfield Dr, Dallas, TX 75214-2949 | 2016-01-13 |
| 1851756977 | Aaron L. Kreisler, M.d. P.a. | Pediatrics | 1151 N Buckner Blvd # Pb1, Suite 203, Dallas, TX 75218-3426 | 2015-12-16 |
| 1679982540 | Mevelline Lim | Pediatrics | 2350 N Stemmons Fwy Ste 2400, Dallas, TX 75207-2700 | 2014-08-05 |
| 1134549983 | Diana Liz Arriola | Pediatrics | 3434 W Illinois Ave Ste 306-3, Dallas, TX 75211-8709 | 2014-04-20 |
| 1386064269 | Jennifer Nguyen Chew | Pediatrics | 6300 Harry Hines Blvd Ste 101, Dallas, TX 75235-5259 | 2014-04-18 |
| 1215379987 | Colleen D Edge | Pediatrics | 8355 Walnut Hill Ln Ste 105, Dallas, TX 75231-4242 | 2013-07-23 |
| 1083055214 | Richard William Markus | Pediatrics | 7777 Forest Ln Ste B320, Dallas, TX 75230-6820 | 2013-07-16 |
| Find all providers in DALLAS | ||||
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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.