PHYSICIANS OF KING'S DAUGHTERS, PA (NPI# 1801012257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801012257 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS OF KING'S DAUGHTERS, PA |
| Other Organization Name | KING'S DAUGHTERS CLINIC |
| Practice Address |
1717 Sw H K Dodgen Loop Temple TX 76502-1838 |
| Mailing Address |
1905 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Practice Telephone | 2542982682 |
| Practice Fax Number | 2547787197 |
| Mailing Telephone | 2542982682 |
| Mailing Fax Number | 2547787197 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDWARD T. MCCAFFREY (PRESIDENT BOARD OF DIRECTORS) |
| Authorized Official Telephone | 2542982682 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| King's Daughters Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518268812 | Physicians of King's Daughters, Pa | Radiology | 1909 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2010-11-03 |
| 1619213873 | Physicians of King's Daughters, Pa | Internal Medicine | 800 W Central Texas Expy, Harker Heights, TX 76548-1899 | 2012-12-17 |
| 1134465396 | Physicians of King's Daughters, Pa | Obstetrics & Gynecology | 2025 Memory Ln, Suite 500, Harker Heights, TX 76548-7487 | 2012-12-17 |
| 1033375076 | Physicians of King's Daughters, Pa | Allergy & Immunology | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2008-07-30 |
| 1609066620 | Physicians of King's Daughters, Pa | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2007-07-26 |
| 1710103163 | Physicians of King's Daughters, Pa | Durable Medical Equipment & Medical Supplies | 1713 Sw H K Dodgen Loop, Temple, TX 76502-1836 | 2007-04-17 |
| 1184840530 | Physicians of King's Daughters, Pa | Durable Medical Equipment & Medical Supplies | 401 W Jasper Dr, Killeen, TX 76542-1323 | 2007-04-17 |
| 1992921340 | Physicians of King's Daughters, Pa | Durable Medical Equipment & Medical Supplies | 1817 Sw H K Dodgen Loop, Temple, TX 76502-1815 | 2007-04-17 |
| 1740406198 | Physicians of King's Daughters, Pa | Durable Medical Equipment & Medical Supplies | 1300 E 6th Ave, Belton, TX 76513-2810 | 2007-04-17 |
| 1275756264 | Physicians of King's Daughters, Pa | Clinic/Center | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2007-04-10 |
| Street Address |
1717 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206121 | Edward T. Mccaffrey | Podiatrist | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2005-09-23 |
| 1326442195 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Suite 103, Temple, TX 76502-1838 | 2014-10-22 |
| 1174953467 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2013-11-22 |
| 1851577282 | Shelley Mullen Howell D.o., Pa | Clinic/Center | 1717 Sw H K Dodgen Loop, Suite 114b, Temple, TX 76502-1838 | 2008-01-16 |
| 1194750109 | Physicians of King's Daughters, P.a. | Ophthalmology | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2006-07-11 |
| 1295710028 | John M. Balbo | Audiologist | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2005-12-14 |
| 1902881550 | John V Elwood | Psychologist | 1717 Sw H K Dodgen Loop, Suite 110, Temple, TX 76502-1838 | 2005-12-07 |
| 1790771715 | Richard T. Tay | Internal Medicine | 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908962 | Crystal Hernandez | Durable Medical Equipment & Medical Supplies | 1907 Ramcon Dr, Temple, TX 76504-7154 | 2019-12-04 |
| 1467606145 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 2707 S 37th St Ste C, Temple, TX 76504-7111 | 2008-11-07 |
| 1295981082 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 4320 N. 5th Street Hwy, Temple, PA 19560 | 2008-08-12 |
| 1881867687 | Donald A Rupprecht | Durable Medical Equipment & Medical Supplies | 1900 S 1st St, Temple, TX 76504-7449 | 2008-04-12 |
| 1881862647 | The Bedding Express | Durable Medical Equipment & Medical Supplies | 4211 S General Bruce Dr, Temple, TX 76502-1402 | 2008-02-14 |
| 1689882193 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 3550 S General Bruce Dr, Temple, TX 76504-5138 | 2007-05-18 |
| 1740492800 | Advanced Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 1005 Marlandwood Rd, Suite 108, Temple, TX 76502-7270 | 2007-05-03 |
| 1992852339 | In Vision Eye Care, LLC | Durable Medical Equipment & Medical Supplies | 2924 S 31st St, Temple, TX 76502-1861 | 2007-01-05 |
| 1003833278 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 3401 S 31st St, Temple, TX 76502-1902 | 2006-07-16 |
| 1861419004 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 5314 Allentown Pike, Temple, PA 19560-1249 | 2006-07-16 |
| Find all providers in TEMPLE | ||||
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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.