JENNIFER GITTLEMAN


Address: 1108 S Henderson St, Fort Worth, TX 76104-4430
Phone: 8173353255

JENNIFER GITTLEMAN (NPI# 1972745644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972745644
Entity Type Individual
Full Name JENNIFER GITTLEMAN
Credential DO
Practice Address 1108 S Henderson St
Fort Worth
TX 76104-4430
Mailing Address Po Box 99371
Fort Worth
TX 76199-0371
Practice Telephone 8173353255
Mailing Telephone 6828851855
Mailing Fax Number 6828857347
Enumeration Date 2009-03-27
Last Update Date 2016-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207PP0204X Emergency Medicine
Specialization: Pediatric Emergency Medicine
Q6419 TX Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics Q6419 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1108 S HENDERSON ST
City FORT WORTH
State TX
Zip Code 76104-4430

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295736254 Robert Mitchell Readinger Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2005-08-02
1841637030 Rachel Gambulos Hamilton Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2013-05-28
1710219795 Fort Worth Pediatrics Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2010-02-02
1902048341 Monica Milind Pradhan Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2009-03-31
1972623031 Fort Worth Pediatrics, P.a. Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2007-03-30
1740377175 Gary B Strong Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2006-10-06
1902864887 Mark S. Jones Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2006-05-02
1871551754 R.l.stinson Jones Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2006-05-02
1427016476 Ramiro D. Cavazos Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2006-05-01
1881651230 William B. Scroggie Pediatrics 1108 S Henderson St, Fort Worth, TX 76104-4430 2006-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376165191 Telemedicine Advantage Concierge Urgent Care Pediatrics 4200 South Fwy Ste 100, Fort Worth, TX 76115-1407 2020-05-14
1942776638 Melissa S Wright Pediatrics 6115 Camp Bowie Blvd, Fort Worth, TX 76116-5512 2018-10-19
1366975336 Pragadeeswari Dhanasekaran Pediatrics 5887 Chesapeake Pl, Fort Worth, TX 76132-2660 2017-04-06
1275898280 Suvarna Kolluri Pediatrics 9509 N Beach St Ste 102, Fort Worth, TX 76244-6399 2012-07-06
1881999613 Joyce Keck Rafati Pediatrics 1263 W Rosedale St, Fort Worth, TX 76104-2801 2011-01-26
1386886802 Eriel Hayes Pediatrics 3200 Riverfront Dr Ste 103, Fort Worth, TX 76107-6560 2009-03-30
1194980011 Cherryll Phoebe Taruc Libed Pediatrics 4701 Bryant Irvin Rd. N, Jps Viola Pitts/como, Fort Worth, TX 76107-4917 2008-07-21
1366605735 Carolyn Margaret Lentzsch-parcells Pediatrics 4200 South Hulen Stree, Suite 450, Fort Worth, TX 76109 2008-07-07
1366627655 Courtney M Carter Pediatrics 3201 Western Center Blvd, Suite 125, Fort Worth, TX 76137-7134 2008-01-04
1902017494 Raheela Hafeez,m.d., P.a. Pediatrics 855 Montgomery Street, Fort Worth, TX 76107-2553 2007-05-25
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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