ANGELINA PEDIATRICS PLLC (NPI# 1154425494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154425494 |
| Entity Type | Organization |
| Organization Name | ANGELINA PEDIATRICS PLLC |
| Practice Address |
1222 Ellis Ave Lufkin TX 75904-3326 |
| Mailing Address |
Po Box 150638 Lufkin TX 75915 |
| Practice Telephone | 9366349233 |
| Practice Fax Number | 9366349353 |
| Mailing Telephone | 9366349233 |
| Mailing Fax Number | 9366349353 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | MR. GEORGE S FIDONE (CO OWNER) |
| Authorized Official Telephone | 9366349233 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 092130602 | 05 |
| Street Address |
1222 ELLIS AVE |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360176 | Kristina Marie Malnar | Nurse Practitioner | 1222 Ellis Ave, Lufkin, TX 75904-3326 | 2020-09-10 |
| 1417467994 | Amanda Selia Davis | Pediatrics | 1222 Ellis Ave, Lufkin, TX 75904-3326 | 2017-10-10 |
| 1588012645 | Kari Lynn Hunt | Nurse Practitioner | 1222 Ellis Ave, Lufkin, TX 75904-3326 | 2016-05-31 |
| 1689094351 | Jaimee Gandy Varner | Nurse Practitioner | 1222 Ellis Ave, Lufkin, TX 75904-3326 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| 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 |
|---|---|---|---|---|
| 1023120136 | Jeffrey L Glass | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-08-31 |
| 1417467994 | Amanda Selia Davis | Pediatrics | 1222 Ellis Ave, Lufkin, TX 75904-3326 | 2017-10-10 |
| 1033638929 | The Children's Clinic Rusk Pllc | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904-3359 | 2017-09-12 |
| 1699870949 | Ghazala B Khan | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-09-13 |
| 1508961855 | Childrens Clinic of Lufkin Pa | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-09-13 |
| 1811009939 | Cristina M Graves | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-08-31 |
| 1629065511 | Suhasini Malladi | Pediatrics | 319 Gaslight Blvd, Lufkin, TX 75904-3124 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366635 | Colleen Jaurequi | Pediatrics | 309 Shepards Hill Dr, Rockwall, TX 75087-2850 | 2020-11-05 |
| 1114526050 | 915 Pediatrics Pllc | Pediatrics | 3261 Joe Battle Blvd, El Paso, TX 79936-1156 | 2020-10-21 |
| 1114525532 | Springs Pediatrics Associates Pllc | Pediatrics | 201 Oak Dr S Ste 202, Lake Jackson, TX 77566-5627 | 2020-10-16 |
| 1619575487 | Sreebhavi Professional Corporation | Pediatrics | 340 Hawkins Run Rd, Midlothian, TX 76065-6638 | 2020-10-14 |
| 1588262695 | Buttercup Pediatrics Pllc | Pediatrics | 27524 Westridge Creek Ln Ste D, Katy, TX 77494-5290 | 2020-10-12 |
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1992310973 | Fernando Castaneda Md Pa | Pediatrics | 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 | 2020-09-15 |
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.