SOUTHEAST CHILDRENS CLINIC PA (NPI# 1518164896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518164896 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST CHILDRENS CLINIC PA |
| Practice Address |
908 Southmore Ave Suite 350 Pasadena TX 77502-1134 |
| Practice Telephone | 7134728680 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELEANOR P QUEJA (PRESIDENT) |
| Authorized Official Telephone | 7134728680 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G6597 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
908 SOUTHMORE AVE SUITE 350 |
| City | PASADENA |
| State | TX |
| Zip Code | 77502-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104965 | Pasadena Health Center, Inc | Clinic/Center | 908 Southmore Ave, Ste 100, Pasadena, TX 77502-1134 | 2005-06-16 |
| 1902346570 | David Garcia | Nurse Practitioner | 908 Southmore Ave, 100, Pasadena, TX 77502-1134 | 2017-03-02 |
| 1861899072 | Daisy Cherian | Physician Assistant | 908 Southmore Ave, Suite 130, Pasadena, TX 77502-1134 | 2014-12-03 |
| 1649610692 | William Daniel Middleton | Dentist | 908 Southmore Ave, 180, Pasadena, TX 77502-1134 | 2013-07-03 |
| 1255660916 | Brenda Stewart | Physician Assistant | 908 Southmore Ave, Pasadena, TX 77502-1134 | 2009-12-09 |
| 1124142609 | Mustak Mansur Momin | Pediatrics | 908 Southmore Ave, Suite # 340, Pasadena, TX 77502-1134 | 2007-03-19 |
| 1972664910 | Susan Davis | Specialist/Technologist, Other | 908 Southmore Ave, Ste 270, Pasadena, TX 77502-1134 | 2006-12-13 |
| 1306941992 | Julio C Arauz | Family Medicine | 908 Southmore Ave, Suite 130, Pasadena, TX 77502-1100 | 2006-09-14 |
| 1043220890 | Pasadena Surgical Association | Surgery | 908 Southmore Ave, Ste 270, Pasadena, TX 77502-1134 | 2006-08-08 |
| 1093760746 | Louise Cooper Henson | Family Medicine | 908 Southmore Ave, Suite 100, Pasadena, TX 77502-1134 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1164952693 | Christopher James Coroneos | Student in an Organized Health Care Education/Training Program | 1515 Holocombe Blvd. The University of Texas Md Anderso, Houston, TX 77502 | 2017-06-18 |
| 1205368529 | National Vision, Inc. | Technician/Technologist | 1008 E Southmore Ave, Suite 120, Pasadena, TX 77502 | 2017-03-28 |
| 1265973101 | Ahmad Khalil | Dentist | 1313 Strawberry Rd, Pasadena, TX 77502 | 2017-03-11 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1487956553 | Kkt Medical, Pllc | Clinic/Center | 2615 Strawberry Road, Pasadena, TX 77502 | 2010-11-23 |
| 1780811604 | Richard Daniel Hall | Chiropractor | 1210 W Allendale Rd, Pasadena, TX 77502 | 2009-06-18 |
| 1285880435 | Angel Amador Roman | Dentist | 2515 Strawberry, Pasadena, TX 77502 | 2008-08-07 |
| Find all providers in zip 77502 | ||||
| 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 |
|---|---|---|---|---|
| 1699315390 | Burke Childrens Pllc | Pediatrics | 900 West Jackson Ave, Suite 170, Pasadena, TX 77506 | 2020-01-10 |
| 1326466079 | Tasoula Vorvolakos | Pediatrics | 280 S Euclid Ave, Apt # 222, Pasadena, CA 91101-2768 | 2014-03-31 |
| 1700120276 | Samuels Valley Professional Services, LLC | Pediatrics | 908 Southmore Ave Ste 350, Pasadena, TX 77502-1133 | 2012-11-21 |
| 1053679472 | Sabrina Perrino | Pediatrics | 393 E Walnut Street Pasadena Ca 91188, Pasadena, CA 91188-0001 | 2012-04-24 |
| 1720354996 | Julie Taylor | Pediatrics | 415 Orange Grove Cir Unit 301, Pasadena, CA 91105-2872 | 2012-03-31 |
| 1033439674 | Leslie Allyson Richard | Pediatrics | 1136 Wotkyns Dr, Pasadena, CA 91103-2838 | 2010-06-06 |
| 1104074707 | Allyson Regine Self-stoico | Pediatrics | 800 Fairmount Ave Ste 415, Pasadena, CA 91105-3154 | 2008-09-08 |
| 1528231362 | Family First Medical Group | Pediatrics | 456 E Orange Grove Blvd, Suite 120, Pasadena, CA 91104-5234 | 2008-04-11 |
| 1497970115 | Rahul Grover Inc | Pediatrics | 65 N Madison Ave Ste 304, Pasadena, CA 91101-2050 | 2007-04-16 |
| 1184779654 | Paula Marie Verrette | Pediatrics | 1145 E Green St, Pasadena, CA 91106-2505 | 2007-01-24 |
| Find all providers in PASADENA | ||||
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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.