HOUSTON PEDIATRIC SPECIALTY GROUP, PLLC (NPI# 1306073259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306073259 |
| Entity Type | Organization |
| Organization Name | HOUSTON PEDIATRIC SPECIALTY GROUP, PLLC |
| Practice Address |
7400 Fannin St Suite 1130 Houston TX 77054-1920 |
| Practice Telephone | 7137961600 |
| Practice Fax Number | 7137968567 |
| Mailing Telephone | 7137961600 |
| Mailing Fax Number | 7137968567 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | TODD EVANS (VICE PRESIDENT) |
| Authorized Official Telephone | 7138521550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
7400 FANNIN ST SUITE 1130 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016706 | Bernard L. Rosenfeld | Obstetrics & Gynecology | 7400 Fannin St, Suite 970, Houston, TX 77054-1920 | 2005-07-07 |
| 1780129171 | Linville Aesthetic & Reconstructive Surgery Pllc | Surgery | 7400 Fannin St, Ste 700c, Houston, TX 77054-1920 | 2016-12-21 |
| 1104283662 | Mary Louise Rosenfeld | Nurse Practitioner | 7400 Fannin St, 970, Houston, TX 77054-1920 | 2016-01-28 |
| 1831591940 | Audrey Moon | Dentist | 7400 Fannin St, Suite 780, Houston, TX 77054-1920 | 2014-09-19 |
| 1104255074 | Linda Egan | Physician Assistant | 7400 Fannin St, Suite 1050, Houston, TX 77054-1920 | 2013-11-01 |
| 1144657602 | Anna Laura Chae Clark | Nurse Practitioner | 7400 Fannin St, Suite 1050, Houston, TX 77054-1920 | 2013-09-30 |
| 1588006589 | Cmg Laboratories, LLC | Clinical Medical Laboratory | 7400 Fannin St, Suite 700c, Houston, TX 77054-1920 | 2013-07-19 |
| 1609217819 | Rocio A Harbison Md Pa | Pediatrics | 7400 Fannin St, Suite 855, Houston, TX 77054-1920 | 2013-07-16 |
| 1457797607 | Stephanie Elaine Meyers | Nurse Practitioner | 7400 Fannin St, Suite 840, Houston, TX 77054-1920 | 2013-05-15 |
| 1649527193 | Cain Robert Linville | Surgery | 7400 Fannin St, Ste 700, Houston, TX 77054-1947 | 2012-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053730226 | Jaime Conrado Silva | Pediatrics | 1911 Holcombe Blvd Apt 1326, Houston, TX 77030-4189 | 2014-04-15 |
| 1144574591 | Amy Sharon Arrington | Pediatrics | 6621 Fannin, W6006, Houston, TX 77030 | 2012-11-07 |
| 1306118013 | Corey Chartan | Pediatrics | One Baylor Plaza, Mail Stop W6-006, Pediatric Critical Care, Houston, TX 77070 | 2012-01-27 |
| 1396971206 | Kevin Matthew Roy | Pediatrics | 6621 Fannin Street, Wt6-006, Texas Children's Hospital, Pediatrics Intensive Care, Houston, TX 77030 | 2009-06-05 |
| 1396911715 | Aarti C Bavare | Pediatrics | 6621 Fannin, Wt6-006, Houston, TX 77030 | 2008-05-06 |
| 1225106875 | Childrens Critical Care of San Antonio Pa | Pediatrics | 5925 Kirby Dr, E354, Houston, TX 77005-2546 | 2006-12-01 |
| 1841803756 | Bethany Wright Moura | Pediatrics | 6410 Fannin St, Houston, TX 77030-3000 | 2020-08-29 |
| 1912569054 | Sheila Carballo Sy | Pediatrics | 6431 Fannin Street, Msb 5.232, Houston, TX 77003 | 2019-06-28 |
| 1255894846 | Tammy L Eckhardt | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2019-04-10 |
| 1568953610 | Morgan Rockwell | Pediatrics | 6621 Fannin St, Houston, TX 77030 | 2018-05-24 |
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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.