John K Podgore
DO | Pediatrics | Male
John K Podgore, DO is a Fort Worth, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John K Podgore is
855 Montgomery St, Fort Worth, Texas - 76107-2553. He can be contacted on phone at
817-735-2363 and fax number 817-735-2653.
John K Podgore is a sole proprietor of his business.
NPI number (Unique professional ID) for John K Podgore is
1407810344 which was assigned by NPPES on 17 Apr, 2006 and it was last updated on 16 Feb, 2012.
John K Podgore license number is
D9864 for Pediatrics (208000000X) in Texas.
John K Podgore is a pediatrician who 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.
Complete Profile:
John K Podgore basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | John K Podgore |
|---|
| Credential : | DO |
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| Gender : | Male |
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Business Address:
John K Podgore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 855 Montgomery St
Fort Worth, TX, 76107-2553
United States |
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| Phone Number : | 817-735-2363 |
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| Fax Number : | 817-735-2653 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407810344 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Apr, 2006 |
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| Last Updated On : | 16 Feb, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John K Podgore are as mentioned. Primary taxonomy code for John K Podgore, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | No | D9864 | TX |
| 208000000X | Pediatrics | Yes | D9864 | TX |
Legacy Identifiers:
Other legacy medical identifiers of John K Podgore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 125514303 | Other | TX | CSHCN |
| 125514302 | MEDICAID | TX | |
| 847309 | Other | TX | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 99335
Fort Worth, TX, 76199-0335
United States |
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| Phone Number : | 817-735-2363 |
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| Fax Number : | 817-735-2653 |
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Business Location:
Patients can refer following map for directions to
John K Podgore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.