FLETCHER AND O'GRADY PEDIATRIC ASSOCIATES (NPI# 1639197510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639197510 |
| Entity Type | Organization |
| Organization Name | FLETCHER AND O'GRADY PEDIATRIC ASSOCIATES |
| Other Organization Name | AMARILLO CHILDRENS CLINIC |
| Practice Address |
17 Care Cir Amarillo TX 79124-2105 |
| Practice Telephone | 8064686280 |
| Practice Fax Number | 8064687174 |
| Mailing Telephone | 8064686280 |
| Mailing Fax Number | 8064687174 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | MS. KELLY SUZANNE WHITE (OFFICE MANAGER) |
| Authorized Official Telephone | 8064686280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 675512 | TX | Agencies |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 092290801 | 05 | |
| TX | 092290802 | 05 | |
| TX | 092290803 | 05 | |
| TX | 092290804 | 05 |
| Other Name | Type Code |
|---|---|
| Amarillo Childrens Clinic | Doing Business As Name - Organization |
| Street Address |
17 CARE CIR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79124-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306242441 | Charissa Young | Nurse Practitioner | 17 Care Cir, Amarillo, TX 79124-2105 | 2014-11-18 |
| 1346677036 | Shalea Okelly | Nurse Practitioner | 17 Care Cir, Amarillo, TX 79124-2105 | 2013-09-26 |
| 1174643860 | Apryl Dawn Mendoza | Case Manager/Care Coordinator | 17 Care Cir, Amarillo, TX 79124-2105 | 2007-03-29 |
| 1083748339 | Janice Ray | Nurse Practitioner | 17 Care Cir, Amarillo, TX 79124-2105 | 2007-03-16 |
| 1477575991 | Rebecca Jane Scott | Pediatrics | 17 Care Cir, Amarillo, TX 79124-2105 | 2006-07-24 |
| 1811919301 | Shari Orlicek Medford | Pediatrics | 17 Care Cir, Amarillo, TX 79124-2105 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793357 | Bushland Drug, LLC | Pharmacy | 1600 S. Fm 2381, Amarillo, TX 79124 | 2019-01-10 |
| 1134691017 | Linda Darlene Podzemny | Counselor | 5250 Cliffside Road, Amarillo, TX 79124 | 2018-12-17 |
| 1356831721 | Amarillo Vii Enterprises, LLC | Skilled Nursing Facility | 1625 Point West Parkway, Amarillo, TX 79124 | 2018-05-11 |
| 1770092066 | Ama Ruby Slippers Care Inc | Home Health | 2300 N Western, Amarillo, TX 79124 | 2017-09-29 |
| 1164948451 | Saturnino Cogefar Salera | Nurse Practitioner | 203 Banks Dr, Amarillo, TX 79124 | 2017-08-17 |
| 1841714854 | Nathaniel Ryan Arismendez | Physical Therapist | 6900 John David Circle, Amarillo, TX 79124 | 2017-08-01 |
| 1811387368 | Aua Surgical Center, LLC | Clinic/Center | 8207 West Amarillo Blvd, Amarillo, TX 79124 | 2015-02-04 |
| 1053670349 | Melissa Suzanne Jones | Nurse Practitioner | 24 Care Cirlce, Amarillo, TX 79124 | 2012-05-08 |
| 1811172422 | Ammar Jarrous Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6810 Plum Creek, Amarillo, TX 79124 | 2008-01-02 |
| 1043405913 | Wesley Scott Nickens | Family Medicine | 603 Quail Creek Dr Spc 300, Amarillo, TX 79124 | 2007-09-12 |
| Find all providers in zip 79124 | ||||
| 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 |
|---|---|---|---|---|
| 1831226430 | Children's Healthcare Associates, LLP | Pediatrics | 1901 Medi Park Dr Ste 2001, Amarillo, TX 79106-2108 | 2007-02-28 |
| 1104965938 | Robin Elaine Martinez | Pediatrics | 6305 Sunlake Dr, Amarillo, TX 79124-1215 | 2007-02-06 |
| 1063570059 | Nathan Goldstein IIi | Pediatrics | 6810 Montague Dr, Amarillo, TX 79109-5048 | 2006-12-04 |
| 1205858834 | Rex Albert Fletcher | Pediatrics | 3501 S. Soncy, Ste 110, Amarillo, TX 79119-6405 | 2006-07-24 |
| 1447207410 | Margaret Anne Walsh | Pediatrics | 716 N Polk St, Amarillo, TX 79107-5248 | 2006-05-27 |
| 1104883206 | Shu Shum | Pediatrics | 1801 Halstead St, Amarillo, TX 79106-1830 | 2006-05-01 |
| 1932621182 | Gabrielle Gloria Tardieu | Pediatrics | 3113 Ross St, Amarillo, TX 79103-2700 | 2017-07-10 |
| 1912431578 | Apurva Ravindra Jain | Pediatrics | 1400 S Coulter St, Suite 1500, Amarillo, TX 79106-1786 | 2017-04-20 |
| 1477086148 | Anders Jordan Leverton | Pediatrics | 1400 S Coulter St, Suite 1500, Amarillo, TX 79106-1786 | 2017-04-09 |
| 1013390004 | Rex Fletcher Mdpa | Pediatrics | 3501 S Soncy Rd, Suite 110, Amarillo, TX 79119-6407 | 2015-07-08 |
| Find all providers in AMARILLO | ||||
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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.