WEATHERFORD PEDIATRICS, P.A. (NPI# 1730364175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730364175 |
| Entity Type | Organization |
| Organization Name | WEATHERFORD PEDIATRICS, P.A. |
| Practice Address |
712 E Anderson St Suite A Weatherford TX 76086-5873 |
| Practice Telephone | 8175967717 |
| Practice Fax Number | 8175967119 |
| Mailing Telephone | 8175967717 |
| Mailing Fax Number | 8175967119 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | DR. SUSAN GAUNTT WALKER (PRESIDENT) |
| Authorized Official Telephone | 8175967717 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | H5445 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 120339002 | 05 | |
| TX | BCBS | 89515Z | 01 |
| Street Address |
712 E ANDERSON ST SUITE A |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76086-5873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093827784 | Robert Gene Garmon | Internal Medicine | 712 E Anderson St, Suite B, Weatherford, TX 76086-5873 | 2006-08-31 |
| 1609970896 | Susan Raedene Gauntt Walker | Pediatrics | 712 E Anderson St, A, Weatherford, TX 76086 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
| 1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
| 1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
| 1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
| 1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
| 1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
| 1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
| 1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
| Find all providers in zip 76086 | ||||
| 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 |
|---|---|---|---|---|
| 1093703902 | Bart Robbins | Pediatrics | 1429 Clear Lake Rd, Suite 100, Weatherford, TX 76086-5895 | 2005-10-13 |
| 1548501901 | Medpeds Medical Clinic, Pa | Pediatrics | 2111 Fort Worth Hwy, Weatherford, TX 76086-4834 | 2013-03-11 |
| 1134206139 | Medpeds Medical Clinic Pa | Pediatrics | 2111 Fort Worth Hwy, Weatherford, TX 76086-4834 | 2006-11-01 |
| 1609970896 | Susan Raedene Gauntt Walker | Pediatrics | 712 E Anderson St, A, Weatherford, TX 76086 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
| City | WEATHERFORD |
| Zip Code | 76086 |
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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.