Organization Active NPI

Fletcher and O'Grady Pediatric Associates

Doing business as Amarillo Childrens Clinic

  • Pediatrics Physician
  • Amarillo, TX
National Provider Identifier
1639197510
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FLETCHER AND O'GRADY PEDIATRIC ASSOCIATES
Doing business as
Amarillo Childrens Clinic
Practice address
17 Care Cir
Amarillo, TX 79124-2105
Phone
(806) 468-6280
Fax
(806) 468-7174
NPI assigned
Jul 18, 2006
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kelly Suzanne White
Title
Office Manager
Phone
(806) 468-6280

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 675512 TX
Physical Therapy Clinic/Center 261QP2000X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

17 Care Cir
Amarillo, TX 79124-2105

Mailing address

17 Care Cir
Amarillo, TX 79124-2105
Phone (806) 468-6280

Other identifiers 4

IdentifierTypeStateIssuer
092290804MedicaidTX
092290802MedicaidTX
092290801MedicaidTX
092290803MedicaidTX

Other names 1

  • Amarillo Childrens Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1639197510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CARE CIR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242105",
            "telephone_number": "806-468-6280",
            "fax_number": "806-468-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CARE CIR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242105",
            "telephone_number": "806-468-6280",
            "fax_number": "806-468-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER AND O'GRADY PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-468-6280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "675512",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092290804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092290802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092290801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092290803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amarillo Childrens Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.