SOMKID SRIDAROMONT


Address: 3702 20th St, Suite B, Lubbock, TX 79410-1206
Phone: 8067915930

SOMKID SRIDAROMONT (NPI# 1497755581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497755581
Entity Type Individual
Full Name SOMKID SRIDAROMONT
Credential MD
Practice Address 3702 20th St
Suite B
Lubbock
TX 79410-1206
Practice Telephone 8067915930
Practice Fax Number 8067915937
Mailing Telephone 8067915930
Mailing Fax Number 8067915937
Enumeration Date 2005-07-29
Last Update Date 2014-02-13
NPI Deactivation Date 03/21/2006
NPI Reactivation Date 2006-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
E5255 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 89773Z 01
TX 034659501 05

Office Location

Street Address 3702 20TH ST
SUITE B
City LUBBOCK
State TX
Zip Code 79410-1206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477551273 Athos Gabriel Colon Pediatrics 3702 20th St, Suite B, Lubbock, TX 79410-1206 2005-07-14
1437443538 South Plains Pediatric Cardiology, P.a. Pediatrics 3702 20th St, Suite B, Lubbock, TX 79410-1206 2011-06-06
1316143597 Athos G Colon Md Pa Pediatrics 3702 20th St, Suite B, Lubbock, TX 79410-1206 2007-06-25
1245456276 West Texas Pediatric Cardiology Pediatrics 3702 20th St, Suite B, Lubbock, TX 79410-1206 2007-04-18

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NPI Name Taxonomy Address Enumeration
1548878267 Covenant Medical Center Clinic/Center 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 2020-07-20
1669038626 Hub City Anesthesia Nurse Anesthetist, Certified Registered 3416 22nd Street, Lubbock, TX 79410 2019-05-15
1912447418 Lubbock Surgery Center, LLC Clinic/Center 3416 22nd St, Lubbock, TX 79410 2017-03-02
1871032698 Lezlee Berry Pharmacist 3615 19th Street, Lubbock, TX 79410 2017-02-13
1376914101 Matthew Cotton Nurse Practitioner 2424 Quaker Ave, Lubbock, TX 79410 2015-10-20
1841534864 Frank Nwabugwu Pharmacist 4120 34th Street, Lubbock, TX 79410 2012-11-15
1689954794 Dharmendra Kumar Pediatrics Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 2011-08-19
1518277177 T.r.m. Rao, M.d., P.a. Colon & Rectal Surgery 3809 22nd Street, Suite C, Lubbock, TX 79410 2010-10-18
1700196672 Hanford Consultations P.a. Family Medicine 4000 22nd Place Suite 100, Lubbock, TX 79410 2010-10-13
1336452598 Amanda Collins Specialist 4801 34th Street, Lubbock, TX 79410 2010-07-16
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
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/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477551273 Athos Gabriel Colon Pediatrics 3702 20th St, Suite B, Lubbock, TX 79410-1206 2005-07-14
1437443538 South Plains Pediatric Cardiology, P.a. Pediatrics 3702 20th St, Suite B, Lubbock, TX 79410-1206 2011-06-06
1720242126 Somkiat Sopontammarak Pediatrics 6401 Indiana Ave, Suite C, Lubbock, TX 79413-5740 2008-07-15
1316143597 Athos G Colon Md Pa Pediatrics 3702 20th St, Suite B, Lubbock, TX 79410-1206 2007-06-25
1245456276 West Texas Pediatric Cardiology Pediatrics 3702 20th St, Suite B, Lubbock, TX 79410-1206 2007-04-18
1487611562 Andrew Robinson Pediatrics 4102 22nd Pl, Lubbock, TX 79410-1122 2006-05-01
1902887771 Joon Park Pediatrics 3502 9th St, Suite 290, Lubbock, TX 79415-3300 2005-11-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114544640 Adebo Clinic, Pllc Pediatrics 16651 Southwest Fwy Ste 150, Sugar Land, TX 77479-2346 2020-06-30
1487285656 Total Care Pllc Pediatrics 7888 Gateway Blvd E Fl 2nd, El Paso, TX 79915-1815 2020-01-28
1891127726 Stephanie Ghaleb Pediatrics 3333 S.alameda St, 13k, Corpus Christi, TX 78411 2013-08-02
1417202177 Unnati Doshi Pediatrics 17510 W Grand Pkwy S Ste 550, Sugar Land, TX 77479-2649 2012-07-18
1780948737 Tam Dan Nguyen Pham Pediatrics 6651 Main St Fl 19, Houston, TX 77030-2351 2012-06-25
1710245642 Jerry Thyparampil Michael Pediatrics 3533 S Alameda St Ste H-100, Corpus Christi, TX 78411-1721 2012-04-29
1578883187 Fetal Care Consultants, LLC. Pediatrics 7777 Forest Ln Ste 742, Dallas, TX 75230-2571 2010-06-04
1134446073 Kristal L Woldu Pediatrics 1500 Cooper St Fl 3, Fort Worth, TX 76104-2710 2010-05-03
1063738961 Roberto L. Villarreal Mdpa Pediatrics 6553 Metro Court, Suite A, Laredo, TX 78041 2010-04-16
1982840815 Valley Pediatric Cardiology, P.l.l.c Pediatrics 702 E. Expressway 83 Suite A3, Donna, TX 78537 2008-12-24
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Competitor

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City LUBBOCK
Zip Code 79410

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Dataset Information

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.

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