FORT WORTH PEDIATRICS – NPI #1801128889
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Health Care Provider Taxonomy Code for Pediatrics

FORT WORTH PEDIATRICS is a provider located in FORT WORTH, TX. NPPES has assigned the NPI number 1801128889 to FORT WORTH PEDIATRICS on February 02, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 15 years ago on Jun 15, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORT WORTH PEDIATRICS below.

NPI Profile for
FORT WORTH PEDIATRICS

NPI Number
1801128889
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORT WORTH PEDIATRICS
Primary location
5708 EDWARDS RANCH ROAD
FORT WORTH, TX 76109
Phone: (817) 336-4040 Fax: (817) 336-6780
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DIANE RICHEY
ADMINISTRATOR
Phone: (817) 336-4040
Updated
Identifiers

Identifiers for FORT WORTH PEDIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX130900704
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.