FORNEY PEDIATRIC & MEDICAL CLINIC P.A. (NPI# 1346305117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346305117 |
| Entity Type | Organization |
| Organization Name | FORNEY PEDIATRIC & MEDICAL CLINIC P.A. |
| Other Organization Name | FORNEY PEDIATRIC & MEDICAL CLINIC, P.A. |
| Practice Address |
713 W Broad St Suite 100 Forney TX 75126 |
| Practice Telephone | 9725523330 |
| Practice Fax Number | 9725523303 |
| Mailing Telephone | 9725523330 |
| Mailing Fax Number | 9725523303 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | JAYAPRAKASH NARAYAN REDDY (PRESIDENT) |
| Authorized Official Telephone | 9725523330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | G4198 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | G4198 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
G2825 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Forney Pediatric & Medical Clinic, P.A. | Former Legal Business Name - Organization |
| Street Address |
713 W BROAD ST SUITE 100 |
| City | FORNEY |
| State | TX |
| Zip Code | 75126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942267141 | Jason N Hughes | Counselor | 713 W Broad St, Suite 200, Forney, TX 75126-9147 | 2006-05-01 |
| 1417300526 | Bentley Family Therapy, Pllc | Marriage & Family Therapist | 713 W Broad St, 200, Forney, TX 75126-9147 | 2016-07-13 |
| 1912384447 | Susan Stahlman | Counselor | 713 W Broad St, Forney, TX 75126-9147 | 2015-05-05 |
| 1770983074 | Greater Dallas Healthcare Enterprises | Pediatrics | 713 W Broad St, Suite 100, Forney, TX 75126-9147 | 2014-08-25 |
| 1023435765 | Ashley R. Willson | Counselor | 713 W Broad St, Suite 150, Forney, TX 75126-9147 | 2014-03-19 |
| 1215362223 | Holly T Mitchell Pllc | Counselor | 713 W Broad St, Suite 200, Forney, TX 75126-9147 | 2013-09-09 |
| 1174955108 | Holly Tabitha Mitchell | Counselor | 713 W Broad St, Forney, TX 75126-9147 | 2013-08-01 |
| 1205101250 | Misti Dawn Gent | Nurse Practitioner | 713 W Broad St, Suite 100, Forney, TX 75126-9147 | 2012-03-08 |
| 1306869300 | Jyothi J Reddy | Pediatrics | 713 W Broad St, Suite 100, Forney, TX 75126 | 2006-07-25 |
| 1902826977 | Jayaprakash N Reddy | Internal Medicine | 713 W Broad St, Suite 100, Forney, TX 75126-9130 | 2006-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215339 | Stuart Frey | Pharmacist | 802 East Us Hwy 80, Forney, Forney, TEXAS 75126 | 2020-11-03 |
| 1689209975 | Steffani Wooley | Counselor | 106 S. Bois D'arc St., Forney, TX 75126 | 2020-03-06 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1801451901 | Interventional Partners LLC | Podiatrist | 124 East Hwy 80, Ste. 104, Forney, TX 75126 | 2019-05-03 |
| 1881164937 | Precision Sports Physical Therapy | Physical Therapist | 757 E Highway 80, Suite 160, Forney, TX 75126 | 2018-12-03 |
| 1336621374 | Grace Nkolika Ilonuba | Registered Nurse | 1518 Wheatley Way, Forney, TX 75126 | 2018-09-06 |
| 1497235691 | Tanya Jean Antonisse-irwin | Speech-Language Pathologist | 1023 Kimbro Drive, Forney, TX 75126 | 2018-08-16 |
| 1912490491 | Rachel Caroline Casebolt | Counselor | 112 S Bois D Arc St, Forney, TX 75126 | 2018-06-11 |
| 1730676735 | Forney Mirror Lake Dentistry Pllc | Clinic/Center | 845 N. Fm 548, Suite 150, Forney, TX 75126 | 2018-04-16 |
| 1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
| Find all providers in zip 75126 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.