CENTRAL TEXAS PEDIATRICS (NPI# 1306032248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306032248 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS PEDIATRICS |
| Practice Address |
1607 Lake Success Dr Waco TX 76710-2908 |
| Practice Telephone | 2547720783 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2014-04-03 |
| NPI Deactivation Date | 07/27/2010 |
| NPI Reactivation Date | 2013-01-07 |
| Authorized Official Name | SUDHIR MADISETTY (OWNER) |
| Authorized Official Telephone | 2547720783 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J3846 | TX | Other Service Providers |
| Street Address |
1607 LAKE SUCCESS DR |
| City | WACO |
| State | TX |
| Zip Code | 76710-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588672760 | Sudhir Madisetty | Specialist | 1607 Lake Success Dr, Waco, TX 76710-2908 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710201926 | David J. Schickner, M.d., P.a. | Specialist | 1105 Wooded Acres Dr Ste 240, Waco, TX 76710-4449 | 2010-03-16 |
| 1588995070 | Browder Clinic, Pllc | Specialist | 7005 Woodway Dr, Suite 201, Waco, TX 76712-6169 | 2010-01-22 |
| 1578731840 | Waco Ob Gyn Associates | Specialist | 2124 N. 25th St, Waco, TX 76708-3317 | 2008-02-20 |
| 1073638748 | Stepping Stones Therapy, Pllc | Specialist | 3300 Pine Ave, Waco, TX 76708-3142 | 2007-03-20 |
| 1952314908 | William A. Peper | Specialist | 1000 W State Highway 6 Ste 420, Waco, TX 76712 | 2006-08-14 |
| 1588672760 | Sudhir Madisetty | Specialist | 1607 Lake Success Dr, Waco, TX 76710-2908 | 2006-08-04 |
| 1407861073 | Bret H Miller Md Pa Orthopaedic and Sports Medicine Specialists of Wac | Specialist | 300 Richland West Cir, Suite 1, Waco, TX 76712-7934 | 2006-07-30 |
| 1649294323 | Hillcrest Physician Services | Specialist | 50 Hillcrest Medical Blvd Ste 102, Waco, TX 76712-8953 | 2006-07-27 |
| 1790733038 | Johnny D. Howton Jr. | Specialist | 7110 Sanger Ave, Waco, TX 76712-3792 | 2006-05-05 |
| 1255399945 | Pramila K. Daftary | Specialist | 221 Jewell Dr, Waco, TX 76712-6630 | 2006-05-02 |
| Find all providers in WACO | ||||
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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.