ANDREW H KILGUS (NPI# 1346322625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346322625 |
| Entity Type | Individual |
| Full Name | ANDREW H KILGUS |
| Credential | MD |
| Practice Address |
1600 W Northwest Hwy Ste 900 Grapevine TX 76051-8112 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 8174887573 |
| Practice Fax Number | 8174885096 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2010-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G4326 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 151816901 | 05 | |
| TX | PHCS PIN | 138216 | 01 |
| TX | FIRSTCARE PIN | 116765100 | 01 |
| TX | 140442891 | 05 | |
| TX | BCBSTX GRP PIN | 00U87Z | 01 |
| TX | CIGNA PIN | 2131717 | 01 |
| TX | BCBSTX IND PIN | 87Y240 | 01 |
| GRP NPI NUMBER | 1750369203 | 01 | |
| TX | 140442888 | 05 | |
| TX | UHC PIN | 303413 | 01 |
| TX | AETNA PIN | 4019422 | 01 |
| TX | CCHIP PIN | KILAB23950 | 01 |
| TX | FIRSTHEALTH PIN | 73652 | 01 |
| Street Address |
1600 W NORTHWEST HWY STE 900 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-8112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831100 | Andrea Wise Rodriguez | Physician Assistant | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2005-12-14 |
| 1689122103 | Grayson Interventional Pain Center | Clinic/Center | 1600 W Northwest Hwy, Grapevine, TX 76051-8112 | 2016-09-13 |
| 1831524727 | Dsc Dental Grapevine Pllc | Dentist | 1600 W Northwest Hwy, Suite #300, Grapevine, TX 76051-8112 | 2013-09-10 |
| 1215379698 | Grapevine Interventional Pain Center, LLC | Clinic/Center | 1600 W Northwest Hwy, Grapevine, TX 76051-8112 | 2013-07-25 |
| 1003196791 | Cypress Interventional Pain Center LLC | Clinic/Center | 1600 W Northwest Hwy, Ste 1000, Grapevine, TX 76051-8112 | 2011-08-25 |
| 1912195330 | Midcities Pain Center, LLC | Clinic/Center | 1600 W Northwest Hwy, Ste. 1000, Grapevine, TX 76051-8112 | 2007-10-10 |
| 1518040369 | Preferred Imaging of Grapevine/colleyville, Lp | Radiologic Technologist | 1600 W Northwest Hwy, Ste. 1000, Grapevine, TX 76051-8112 | 2006-10-23 |
| 1912089285 | Eric E Hopkins | Pediatrics | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2006-10-19 |
| 1356423453 | Vanita D Shori | Pediatrics | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| 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 |
|---|---|---|---|---|
| 1912089285 | Eric E Hopkins | Pediatrics | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2006-10-19 |
| 1356423453 | Vanita D Shori | Pediatrics | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2006-10-19 |
| 1336198308 | Faryal Abdul Ghaffar | Pediatrics | 1120 S Main St, Suite 100, Grapevine, TX 76051-5543 | 2006-05-08 |
| 1689639494 | Anthony Mark Scott | Pediatrics | 1600 W College St, Suite 60, Grapevine, TX 76051-3580 | 2006-04-18 |
| 1588624506 | William Pierre Robert IIi | Pediatrics | 1600 W College St, Suite 60, Grapevine, TX 76051 | 2006-03-24 |
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|---|---|---|---|---|
| 1598366635 | Colleen Jaurequi | Pediatrics | 309 Shepards Hill Dr, Rockwall, TX 75087-2850 | 2020-11-05 |
| 1114526050 | 915 Pediatrics Pllc | Pediatrics | 3261 Joe Battle Blvd, El Paso, TX 79936-1156 | 2020-10-21 |
| 1114525532 | Springs Pediatrics Associates Pllc | Pediatrics | 201 Oak Dr S Ste 202, Lake Jackson, TX 77566-5627 | 2020-10-16 |
| 1619575487 | Sreebhavi Professional Corporation | Pediatrics | 340 Hawkins Run Rd, Midlothian, TX 76065-6638 | 2020-10-14 |
| 1588262695 | Buttercup Pediatrics Pllc | Pediatrics | 27524 Westridge Creek Ln Ste D, Katy, TX 77494-5290 | 2020-10-12 |
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1992310973 | Fernando Castaneda Md Pa | Pediatrics | 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 | 2020-09-15 |
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 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.