PARK VALLEY PEDIATRICS, P.L.L.C. (NPI# 1033598123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033598123 |
| Entity Type | Organization |
| Organization Name | PARK VALLEY PEDIATRICS, P.L.L.C. |
| Practice Address |
16040 Park Valley Dr Suite # 227 Round Rock TX 78681-3578 |
| Mailing Address |
Po Box 1255 Round Rock TX 78680-1255 |
| Practice Telephone | 5122557337 |
| Practice Fax Number | 5128280451 |
| Mailing Telephone | 5122557337 |
| Mailing Fax Number | 5128280451 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | SAM HATHAWAY (BILLING/CREDENTIALING) |
| Authorized Official Telephone | 5122557337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
16040 PARK VALLEY DR SUITE # 227 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681-3578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657894 | Michelle A Irvin | Obstetrics & Gynecology | 16040 Park Valley Dr, #222, Round Rock, TX 78681-3578 | 2005-08-23 |
| 1215472600 | Urology Austin Pharmacy LLC | Pharmacy | 16040 Park Valley Dr, Bldg A Ste 111, Round Rock, TX 78681-3578 | 2016-12-21 |
| 1417222951 | Alanna Cherie Allen | Physician Assistant | 16040 Park Valley Dr, Building A Ste 111, Round Rock, TX 78681-3578 | 2012-03-16 |
| 1548570088 | Austin Southwest Orthopaedic Group, P.a. | Orthopaedic Surgery | 16040 Park Valley Dr, Suite 100, Round Rock, TX 78681-3578 | 2010-10-18 |
| 1538396379 | Richard Cuellar | Pharmacist | 16040 Park Valley Dr, Bldg A Ste 111-a, Round Rock, TX 78681-3578 | 2009-06-19 |
| 1427224112 | Jo Choudhry Mdpa | Obstetrics & Gynecology | 16040 Park Valley Dr, Suite 222, Round Rock, TX 78681-3578 | 2008-05-02 |
| 1154533743 | Elizabeth Lynn Ulrich Peckham | Psychiatry & Neurology | 16040 Park Valley Dr, Building B, Suite 100, Round Rock, TX 78681-3578 | 2007-05-04 |
| 1730306663 | Jo Lanee Choudhry | Obstetrics & Gynecology | 16040 Park Valley Dr, Suite 222, Round Rock, TX 78681-3578 | 2007-04-20 |
| 1083788608 | Affiliated Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 16040 Park Valley Dr, Suite 200, Round Rock, TX 78681-3573 | 2006-11-17 |
| 1033138649 | Tina Marie Warring | Physical Therapist | 16040 Park Valley Dr, Building B, Suite 100, Round Rock, TX 78681-3573 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1427663673 | Aparna Kandimalla | Pharmacist | 800 West Old Settlers, Round Rock, TX 78681 | 2020-09-14 |
| 1366088700 | Lilian Abeh Tayong | Nurse Practitioner | 1750 Round Rock Ave, Suite 200, Round Rock, TX 78681 | 2019-11-20 |
| 1427513654 | Pain Treatment Centers of America, Pllc | Pain Medicine | 511 Oakwood Boulevard, Suite 200, Round Rock, TX 78681 | 2019-02-01 |
| 1841768991 | Maricruz Luna | Counselor | 2509 Arbor Ct, Round Rock, TX 78681 | 2018-11-07 |
| 1497230411 | Kimberly A Dunn | Registered Nurse | 2206 Falkirk Dr, Round Rock, TX 78681 | 2018-09-25 |
| 1023591435 | Brooke D. Peplinski, Lpc, Ncc, Pllc | Counselor | 600 Round Rock West Drive #305, Round Rock, TX 78681 | 2018-09-11 |
| 1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
| Find all providers in zip 78681 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528620150 | Tch Pediatrics Inc | Pediatrics | 1050 Meadows Dr Ste 307, Round Rock, TX 78681-4259 | 2019-07-03 |
| 1194264416 | Glenn Wood Md Pa | Pediatrics | 1201 S Interstate 35 Ste 303, Round Rock, TX 78664-6651 | 2017-02-20 |
| 1114238870 | Amani Qasem | Pediatrics | 2108 Asbury Park Dr, Round Rock, TX 78665-5014 | 2010-06-28 |
| 1407078561 | Melissa Delario | Pediatrics | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2007-05-02 |
| 1558452961 | Wade Travis | Pediatrics | 1001 Little Oak Way, Round Rock, TX 78681-5516 | 2006-09-28 |
| 1396859435 | Bernadette M Brown | Pediatrics | 894 Summit St, Suite 108, Round Rock, TX 78664-4322 | 2006-08-18 |
| 1083727259 | Rafael A De Haro | Pediatrics | 7200 Wyoming Spgs Ste 200, Round Rock, TX 78681-4304 | 2006-08-15 |
| 1851349096 | Cuong Ta Nguyen | Pediatrics | 1505 Greenside Dr, Round Rock, TX 78665-1259 | 2006-05-04 |
| 1093786394 | Meenu Bhatti | Pediatrics | 3950 N A W Grimes Blvd, Suite N201, Round Rock, TX 78665-3540 | 2006-01-27 |
| 1225021256 | Edgar Bacares | Pediatrics | 2120 N Mays St, Round Rock, TX 78664-2192 | 2005-08-24 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.