John Edward Champion in Fort Worth - Adolescent Medicine
John Edward Champion - NPI 1275582439
John Edward Champion is a Adolescent Medicine in Fort Worth, Texas. John Edward Champion practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for John Edward Champion is 1275582439. The last update date is 2009-07-01.
John Edward Champion's current location address is 800 8th Ave, Fort Worth, Texas. You can contact this provider via phone number 8173354005 and fax number 8173323369. The mailing address for John Edward Champion is 800 8th Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Edward Champion |
|---|---|
| Address | 800 8th Ave, Fort Worth, Texas |
| Phone Number | 8173354005 |
| Fax Number | 8173323369 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275582439 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2009-07-01 |
Provider Mailing Address Detail
| Address | 800 8th Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761042604 |
| Phone Number | 8173354005 |
| Fax Number | 8173323369 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | E2505 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 132990609 | TX | TEXAS HEALTH STEPS | |
| 132990602 | TX | -- | |
| 4019283 | TX | AETNA HMO PROVIDER ID | |
| 00TD97 | TX | BCBS ID NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to John Edward Champion by the Centers for Medicare & Medicaid Services?
The John Edward Champion has been assigned the NPI (National Provider Identifier) 1275582439. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John Edward Champion's facilities are geographically located?
The facilities of John Edward Champion are physically situated at the following location: 800 8Th Ave, Fort Worth, TX, 761042604.
What is John Edward Champion's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Edward Champion is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275582439 to John Edward Champion?
The John Edward Champion received its 1275582439 assignment from the Centers for Medicare & Medicaid Services on 2006-05-08.
As of what date were the details related to John Edward Champion most recently updated or revised?
The information pertaining to John Edward Champion, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-01.
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