ALFREDO O SANTESTEBAN (NPI# 1376631176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376631176 |
| Entity Type | Individual |
| Full Name | ALFREDO O SANTESTEBAN |
| Credential | MD |
| Practice Address |
1200 Winnipeg Dr Revenue Management Lewisville TX 75077-2978 |
| Practice Telephone | 4694643150 |
| Mailing Telephone | 4694643150 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | F5429 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ECFMG | 073065 | 01 | |
| TX | 123586301 | 05 | |
| TX | BCBSTX IND PIN | 82Y920 | 01 |
| TX | UHC PIN | 88097 | 01 |
| TX | CIGNA PIN | 0885094 | 01 |
| TX | FIRSTCARE PIN | 12353100 | 01 |
| TX | CCHIP PIN | SANAB26165 | 01 |
| TX | 140442820 | 05 | |
| TX | FIRSTHEALTH PIN | 733833 | 01 |
| GRP NPI NUMBER | 1750369203 | 01 | |
| TX | BCBSTX GRP PIN | 00U87Z | 01 |
| TX | AETNA PIN | 4396098 | 01 |
| Street Address |
1200 WINNIPEG DR REVENUE MANAGEMENT |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75077-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461062 | Preferred Pediatrics Primary Care, Pllc | Pediatrics | 2540 F.m. 407 Ste 189, Highland Village, TX 75077 | 2019-01-23 |
| 1841739448 | Mackenzie Scovill | Physical Therapist | 4040 Bryce Lane, Flower Mound, TX 75077 | 2017-02-15 |
| 1356891147 | Erin Maxwell | Naturopath | 2012 Fm 407 Ste 200a, Lewisville, TX 75077 | 2016-10-05 |
| 1356732051 | My-hanh Nguyen Dds, Pa | Dentist | 967 North Garden Ridge Blvd, Suite A, Lewisville, TX 75077 | 2015-02-17 |
| 1912332586 | Marissa Lynn Royall Steinhelfer | Speech-Language Pathologist | 800 College Parkway, Suite 336, Lewisville, TX 75077 | 2013-09-13 |
| 1831466044 | Healthsource of Flower Mound LLC | Chiropractor | 200 Market Place Ln, Suite 200, Highland Village, TX 75077 | 2011-11-17 |
| 1144546391 | Sandhya Rao | Physical Therapist | 1301 Justin Rd Ste 206, Lewisville, TX 75077 | 2010-04-13 |
| 1811121460 | Orthodontic Professionals | Clinic/Center | 4030 Justin Road (fm 407), Suite 100, Flower Mound, TX 75077 | 2009-05-12 |
| 1134393374 | Elizabeth Pearl Muir | Occupational Therapist | 1301 West Hwy 407, Ste 206, Lewisville, TX 75077 | 2008-04-18 |
| 1043488323 | The Looking Glass Optique PC | Optometrist | 2600 Village Parkway, Unit 1a, Highland Village, TX 75077 | 2008-02-20 |
| Find all providers in zip 75077 | ||||
| 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 |
|---|---|---|---|---|
| 1174008692 | Star Pediatric Group Pllc | Pediatrics | 541 W Main St # 110, Lewisville, TX 75057-3628 | 2018-10-01 |
| 1518450352 | Dorene Ebangha Etarock | Pediatrics | 860 Hebron Pkwy Ste 202, Lewisville, TX 75057 | 2018-06-06 |
| 1568731503 | Teladoc Physicians, P.C. | Pediatrics | 1945 Lakepointe Drive, Lewisville, TX 75057-6424 | 2011-12-20 |
| 1255425864 | William Seward Smith Jr. | Pediatrics | 502 S. Old Orchard Ln., Suite 126, Lewisville, TX 75067-4370 | 2006-10-03 |
| 1548207848 | Lizy Varughese | Pediatrics | 713 Hebron Pkwy, Ste 232, Lewisville, TX 75057-5001 | 2006-06-02 |
| 1740264894 | Sindhu E Philip | Pediatrics | 541 W Main St Ste 110, Lewisville, TX 75057-3628 | 2005-12-02 |
| 1275538647 | Sangeeta G Elhence | Pediatrics | 2141 S Edmonds Ln, Lewisville, TX 75067-6162 | 2005-06-14 |
| 1699218099 | Sheridan Rop Services of Texas, P.a. | Pediatrics | 500 W Main St, Lewisville, TX 75057-3641 | 2016-12-02 |
| 1487835484 | Felicia Ochei Md Pllc | Pediatrics | 860 Hebron Pkwy, Suite 202, Lewisville, TX 75057-5003 | 2007-11-18 |
| 1871675629 | Sandra C Peak | Pediatrics | 713 Hebron Pkwy, Ste 232, Lewisville, TX 75057-5001 | 2006-10-20 |
| Find all providers in LEWISVILLE | ||||
| City | LEWISVILLE |
| Zip Code | 75077 |
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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.