DOMINIC ANSARI PEDIATRICS, PLLC (NPI# 1497130751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497130751 |
| Entity Type | Organization |
| Organization Name | DOMINIC ANSARI PEDIATRICS, PLLC |
| Practice Address |
2028 E Ben White Blvd Ste 240a Austin TX 78741-6966 |
| Mailing Address |
2028 E Ben White Blvd Ste 240-8801 Austin TX 78741-6966 |
| Practice Telephone | 8329301366 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | DR. DOMINIC OMAR ANSARI (MANAGING MEMBER) |
| Authorized Official Telephone | 8329301366 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD452657 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2028 E BEN WHITE BLVD STE 240A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78741-6966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437319720 | Victor Tran | Chiropractor | 2028 E Ben White Blvd, Suite 100, Austin, TX 78741-6966 | 2008-06-11 |
| 1336689595 | Drcathyphamdcprofessionalcorporation | Chiropractor | 2028 E Ben White Blvd, Suite 100, Austin, TX 78741-6966 | 2017-03-06 |
| 1043636657 | F5 Surgical of Texas Pllc | Surgery | 2028 E Ben White Blvd, Suite 240-5425, Austin, TX 78741-6931 | 2014-03-07 |
| 1013266832 | Sendero Health Plans | Health Maintenance Organization | 2028 E Ben White Blvd, Suite 510, Austin, TX 78741-6966 | 2012-09-07 |
| 1477828408 | Justin Raymond Marchegiani | Chiropractor | 2028 E Ben White Blvd, Austin, TX 78741-6966 | 2012-03-08 |
| 1982857124 | New Hope Health Care, Inc. | In Home Supportive Care | 2028 E Ben White Blvd, Ste.324, Austin, TX 78741-6966 | 2008-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1942702402 | Lani Kay Hartnett | Social Worker | 2410 E. Riverside Dr. Ste. G3, Austin, TX 78741 | 2018-03-01 |
| 1164946000 | Afiya Tamkeen | Dentist | 4410 East Riverside Dr., Austin, TX 78741 | 2017-08-02 |
| 1487174603 | Keila Luna | Speech-Language Pathologist | 2410 East Riverside Dr, Suite B-1, Austin, TX 78741 | 2017-06-20 |
| 1033640859 | Anastacia Erebia | Licensed Vocational Nurse | 6600 E. Ben White Blvd, Austin, TX 78741 | 2017-03-23 |
| 1376084756 | Stephanie Marie Haywood | Social Worker | 6600 E Ben White Herman Center, Austin, TX 78741 | 2017-03-17 |
| 1811437700 | Happiness Onyinyechi Nwadike | Registered Nurse | 6600 E. Ben White Herman Center, Austin, TX 78741 | 2017-02-27 |
| 1811436975 | Jennifer Salas | Licensed Practical Nurse | 6600 E. Ben White, Austin, TX 78741 | 2017-02-21 |
| 1235681008 | Amber Taylor | Occupational Therapy Assistant | 2410 E. Riverside, Suite B-1, Austin, TX 78741 | 2016-10-27 |
| Find all providers in zip 78741 | ||||
| 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 |
|---|---|---|---|---|
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1245858166 | Patricia Bailey Nicol | Pediatrics | 6101 E Oltorf St # Tx78741, Austin, TX 78741-7500 | 2020-07-07 |
| 1962061986 | Tch Pediatrics Inc | Pediatrics | 2911 Medical Arts St Ste 7, Austin, TX 78705-3302 | 2019-06-12 |
| 1316502875 | Tch Pediatric Associates, Inc | Pediatrics | 1111 W 34th St Ste 102, Austin, TX 78705-1916 | 2019-05-09 |
| 1871158816 | Sara Marie Dryden | Pediatrics | 4900 Mueller Blvd Ste 35.066c, Austin, TX 78723-3079 | 2019-05-06 |
| 1285190066 | Raegan Oneill | Pediatrics | 1621 E 6th St Apt 1230, Austin, TX 78702-3350 | 2019-02-16 |
| 1376023267 | Tch Pediatric Associates, Inc | Pediatrics | 2911 Medical Arts St Ste 20, Austin, TX 78705-3302 | 2018-08-20 |
| 1174012272 | Amanda Vela | Pediatrics | 4900 Mueller Blvd Ste 3s.066, Austin, TX 78723-3079 | 2018-05-03 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1083120257 | Rachel Aujla Quirt | Pediatrics | 1301 Barbara Jordan Blvd Ste 200b, Austin, TX 78723-3078 | 2017-12-23 |
| Find all providers in AUSTIN | ||||
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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.