NPIMap

Organization Active NPI

Cook Children'S Medical Center

  • Pediatrics Physician
  • Mansfield, TX
National Provider Identifier
1962833228
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
000332 Issued in TX
Legal business name
COOK CHILDREN'S MEDICAL CENTER
Practice address
801 Matlock Rd
Mansfield, TX 76063-9174
Phone
(817) 347-8400
Fax
(681) 347-8495
NPI assigned
Dec 11, 2013
Organization subpart
Yes
Parent organization
COOK CHILDREN'S MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Cory R Rhoades
Title
Chief Financial Officer
Phone
(682) 885-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 000332 TX Primary

Addresses

Primary practice location

801 Matlock Rd
Mansfield, TX 76063-9174

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-1860

Other names 1

  • COOK CHILDREN'S URGENT CARE MANSFIELD Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address man_urgent_care_staff_pool200583@CookChildrens.direct-ci.com

National Provider Directory

National Provider Directory
Tax ID family
Cook Fort Worth Childre25 organizations share this tax ID, including this one
Part of
Cook Fort Worth Childre

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1962833228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990213",
            "telephone_number": "682-885-1860",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MATLOCK RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639174",
            "telephone_number": "817-347-8400",
            "fax_number": "681-347-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHILDREN'S MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK CHILDREN'S MEDICAL CENTER",
        "enumeration_date": "2013-12-11",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "682-885-4480"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "000332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "man_urgent_care_staff_pool200583@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "801 Matlock Rd",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760639174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "COOK CHILDREN'S URGENT CARE MANSFIELD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.