ABC PEDIATRIC CLINIC, P.A. (NPI# 1417125642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417125642 |
| Entity Type | Organization |
| Organization Name | ABC PEDIATRIC CLINIC, P.A. |
| Practice Address |
13711 Wallisville Rd Houston TX 77049-3908 |
| Practice Telephone | 7134557777 |
| Practice Fax Number | 7134537337 |
| Mailing Telephone | 7134557777 |
| Mailing Fax Number | 7134537337 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | DR. SOGOL PAHLAVAN (CO-PARTNER/ OWNER) |
| Authorized Official Telephone | 8327463105 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
13711 WALLISVILLE RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77049-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770579872 | Karen Elizabeth Smith-cook | Pediatrics | 13711 Wallisville Rd, Houston, TX 77049 | 2005-09-23 |
| 1154898450 | Madison Goeringer | Nurse Practitioner | 13711 Wallisville Rd, Houston, TX 77049-3908 | 2018-10-25 |
| 1275015489 | Alexander Chernyshov | Counselor | 13711 Wallisville Rd, Houston, TX 77049 | 2018-09-04 |
| 1366861791 | Vathsala Ariyaratna | Pediatrics | 13711 Wallisville Rd, Houston, TX 77049-3908 | 2014-04-14 |
| 1154418804 | Sogol Pahlavan | Pediatrics | 13711 Wallisville Rd, Houston, TX 77049-3908 | 2006-10-06 |
| 1053408716 | Silen Pahlavan | Pediatrics | 13711 Wallisville Rd, Houston, TX 77049-3908 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059032 | Cheryl Melissa Lewis | Nurse Practitioner | 18360 Wallisville Road, Houston, TX 77049 | 2018-10-15 |
| 1962757898 | Lmr Webster Street Pharmacy Incorporated | Pharmacy | 11519 Wallisville Rd Ste 500, Houston, TX 77049 | 2012-07-17 |
| 1083816458 | Wallisville Dental Associates, Pa | Dentist | 14570 Wallisville Road, Suite 2, Houston, TX 77049 | 2007-06-05 |
| 1144376823 | Phuong T Nguyen | Dentist | 14570 Wallisville Rd Suite #2, Houston, TX 77049 | 2007-01-26 |
| 1366524324 | Gmn Vision LLC | Durable Medical Equipment & Medical Supplies | 14570 Wallisville Rd, Suite 3b, Houston, TX 77049 | 2006-10-19 |
| 1801993795 | Jadalia Home Health Agency, Inc. | Home Health | 14651 Leacrest Drive, Houston, TX 77049 | 2006-09-20 |
| 1881662344 | South Lake Houston Emergency Medical Services | Ambulance | 14418 Beaumont Highway, Houston, TX 77049 | 2006-03-10 |
| 1295090389 | Oyelola Omowunmi Atobajeun | Dentist | 5607 Uvalde Rd, Houston, TX 77049 | 2012-07-05 |
| 1851447536 | Minh-khoi My Nguyen | Dentist | 14570 Wallisville Rd Suite #2, Houston, TX 77049 | 2007-01-26 |
| 1205918265 | Chrimin Vision LLC | Specialist/Technologist, Other | 14570 Wallisville Rd, Suite 3-a, Houston, TX 77049 | 2006-10-19 |
| Find all providers in zip 77049 | ||||
| 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 |
|---|---|---|---|---|
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1821612276 | Rainbow Pediatrics of Houston, Pllc. | Pediatrics | 12822 Veterans Memorial Dr, Houston, TX 77014-2049 | 2020-06-02 |
| 1730651688 | Jennifer Anne Sauve | Pediatrics | 3131 Timmons Ln Apt 1124, Houston, TX 77027-6075 | 2018-12-17 |
| 1972071207 | Peekaboo Pediatrics | Pediatrics | 1740 W 27th St Ste 305, Houston, TX 77008-1437 | 2018-11-05 |
| 1235605064 | Bola Olasunkanmi Jaiyeola | Pediatrics | 8338 W Sam Houston Pkwy S Ste 198, Houston, TX 77072-5088 | 2018-10-19 |
| 1013498690 | Ut Physicians Specialty Services | Pediatrics | 5516 Lockwood Dr., Houston, TX 77026-1919 | 2018-08-22 |
| 1366928418 | Ut Physicians Specialty Services | Pediatrics | 9105 N. Wayside Dr., Houston, TX 77028-1030 | 2018-07-12 |
| 1811486814 | Cypress Creek Pediatric Clinic | Pediatrics | 4560 Cypress Creek Pkwy Ste 100, Houston, TX 77069-4628 | 2018-05-04 |
| 1568963049 | Elizabeth Renee Holland | Pediatrics | 1875 Post Oak Park Dr Apt 721, Houston, TX 77027-3471 | 2018-02-21 |
| 1427579366 | Ut Physicians | Pediatrics | 9801 Long Point Rd, Houston, TX 77055-4188 | 2017-06-30 |
| Find all providers in HOUSTON | ||||
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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.