SOUTH PADRE ISLAND PEDIATRIC CLINIC (NPI# 1225283807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225283807 |
Entity Type | Organization |
Organization Name | SOUTH PADRE ISLAND PEDIATRIC CLINIC |
Other Organization Name | SOUTH PADRE ISLAND PEDIATRIC CNTR-ARANSAS PASS |
Practice Address |
160 S. 13th Street Aransas Pass TX 78336 |
Mailing Address |
160 S 13th St Aransas Pass TX 78336-4434 |
Practice Telephone | 3617581984 |
Practice Fax Number | 3618515193 |
Mailing Telephone | 3617581984 |
Mailing Fax Number | 3618515193 |
Enumeration Date | 2008-11-24 |
Last Update Date | 2008-11-24 |
Authorized Official Name | MS. SANDY GONZALEZ (OFFICE MANAGER) |
Authorized Official Telephone | 3618544626 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
G6791 | TX | Ambulatory Health Care Facilities |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
E4618 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 127051406 | 05 |
Other Name | Type Code |
---|---|
SOUTH PADRE ISLAND PEDIATRIC CNTR-ARANSAS PASS | Doing Business As Name - Organization |
Street Address |
160 S. 13TH STREET |
City | ARANSAS PASS |
State | TX |
Zip Code | 78336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003137696 | Rachel Robinson | Pharmacist | 2702 W. Wheeler, Aransas Pass, TX 78336 | 2010-06-17 |
1053448746 | Amanda Raye Martini | Optometrist | 2501 W. Wheeler Ave., Aransas Pass, TX 78336 | 2007-02-28 |
1356499818 | Scooters and More | Durable Medical Equipment & Medical Supplies | 2051 West Wheeler, Ste 7, Aransas Pass, TX 78336 | 2007-01-08 |
1821181322 | Gregg Mark Godfrey | Chiropractor | 246 S Commercial St, Aransas Pass, TX 78336 | 2006-10-02 |
1457460875 | H-e-b, Lp | Clinical Medical Laboratory | 101 E Goodnight Ave, Aransas Pass, TX 78336 | 2006-08-30 |
1467568865 | Medical Arts Clinic Professional Association of Aransas Pass | Family Medicine | 1731 W Wheeler, Aransas Pass, TX 78336 | 2006-08-21 |
1508814609 | Steven Charles Jones | Nurse Anesthetist, Certified Registered | 1711 W Wheeler Ave, Aransas Pass, TX 78336 | 2006-05-04 |
1669477667 | David Henry Binder | Dentist | 545 S Commercial St, Aransas Pass, TX 78336-1809 | 2005-06-16 |
1285863977 | Catherine Ann Metivier | Dentist | 545 S Commercial St, Aransas Pass, TX 78336-1809 | 2009-07-02 |
1215993944 | Cindy Page | Clinical Nurse Specialist | 524 S Commercial St, Suite B, Aransas Pass, TX 78336-1810 | 2006-04-21 |
Find all providers in zip 78336 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
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1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
Find all providers with the same taxonomy |
City | ARANSAS PASS |
Zip Code | 78336 |
Please comment or provide details below to improve the information on SOUTH PADRE ISLAND PEDIATRIC CLINIC.
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.