OVER THE MOON PEDIATRICS, PLLC (NPI# 1104462753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104462753 |
| Entity Type | Organization |
| Organization Name | OVER THE MOON PEDIATRICS, PLLC |
| Practice Address |
17189 I-45 South Suite 235 The Woodlands TX 77385 |
| Mailing Address |
17189 I-45 South Suite 235 The Woodlands TX 77385-4793 |
| Practice Telephone | 8325397532 |
| Practice Fax Number | 8884500782 |
| Mailing Telephone | 8325397532 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-03-21 |
| Authorized Official Name | DR. MICHELLE ANGELINE SUHENDRA (OWNER) |
| Authorized Official Telephone | 8326408382 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
17189 I-45 SOUTH SUITE 235 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1285255380 | Tiffany Tran | Pharmacist | 10200 Hwy 242, Conroe, TX 77385 | 2020-04-29 |
| 1447898994 | Harper's Preserve Dentistry, PC | Dentist | 10160 Hwy 242, Ste 100, Conroe, TX 77385 | 2019-12-16 |
| 1053973453 | Mark William Riepl | Behavior Technician | 19445 David Memorial Dr, Unit #1707, Shenandoah, TX 77385 | 2019-07-05 |
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1932766235 | Houston Mint Dentistry, Pllc | Dentist | 19073 Interstate 45 N Suite 185, Shenandoah, TX 77385 | 2019-05-22 |
| 1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
| 1164902094 | Lindsay Taylor Fleming | Specialist/Technologist | 19221, Interstate 45 S. Ste. 120, Shenandoah, TX 77385 | 2018-08-20 |
| 1457831380 | Cynthia Lavern Nolan | Occupational Therapy Assistant | 19221 I-45 S. Suite 120, Shenandoah, TX 77385 | 2018-08-20 |
| Find all providers in zip 77385 | ||||
| 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 |
|---|---|---|---|---|
| 1447631007 | Tch Pediatric Associates, Inc. | Pediatrics | 1011 Medical Plaza Dr Ste 100, The Woodlands, TX 77380-3248 | 2015-06-09 |
| 1598059776 | Pediatric Urgent Care, Pa | Pediatrics | 1640 Lake Woodlands Dr, Suite E, The Woodlands, TX 77380-3276 | 2011-06-05 |
| 1841509163 | Imgard Carolina Molleda Castro | Pediatrics | 3720 College Park Dr, 13101, The Woodlands, TX 77384-4815 | 2010-10-04 |
| 1821313784 | Allyson Nelms Wyatt | Pediatrics | 17580 Interstate 45, Gi Clinic 5th Floor, The Woodlands, TX 77384 | 2010-04-05 |
| 1275701229 | Swati Arun Karmarkar | Pediatrics | 17580 I-45 South, Neurology Office, The Woodlands, TX 77384 | 2008-02-12 |
| 1245427889 | Cruz Arturo Munoz | Pediatrics | 17580 Interstate 45 S Bldg 6th, The Woodlands, TX 77384-4972 | 2007-09-27 |
| 1437239845 | Anuradha Mcdonald | Pediatrics | 6707 Sterling Ridge Drive, Suite A, The Woodlands, TX 77382 | 2006-10-17 |
| 1619994704 | Mona A Shihadeh-smith | Pediatrics | 1595 Lake Front Cir, The Woodlands, TX 77380-3604 | 2006-07-16 |
| 1205878667 | Mark R Kozak | Pediatrics | 4800 W Panther Creek Dr Ste 100, The Woodlands, TX 77381 | 2006-06-11 |
| 1679575047 | Bernadette Haggerty | Pediatrics | 1011 Medical Plaza Dr, 220, The Woodlands, TX 77380-3249 | 2005-08-15 |
| Find all providers in THE WOODLANDS | ||||
| City | THE WOODLANDS |
| Zip Code | 77385 |
Please comment or provide details below to improve the information on OVER THE MOON PEDIATRICS, PLLC.
| 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.