AMOL SUDHAKAR DESHPANDE (NPI# 1922140615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922140615 |
Entity Type | Individual |
Full Name | AMOL SUDHAKAR DESHPANDE |
Credential | MD |
Practice Address |
315 Prospect Dr Trinity TX 75862-6202 |
Mailing Address |
103 Hawthorn Lufkin TX 75904-5361 |
Practice Telephone | 9365947375 |
Practice Fax Number | 9365943797 |
Mailing Telephone | 9366342128 |
Mailing Fax Number | 9365940491 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2009-05-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | K5089 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 029685702 | 05 |
Street Address |
315 PROSPECT DR |
City | TRINITY |
State | TX |
Zip Code | 75862-6202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548235906 | East Texas Medical Center Trinity | Clinic/Center | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-02-21 |
1083194138 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 315 Prospect Dr, Trinity, TX 75862-6202 | 2018-08-17 |
1679877161 | Lawrence Quan M.d.p.a | Family Medicine | 315 Prospect Dr, P.o. 672, Trinity, TX 75862-6202 | 2010-12-27 |
1043469638 | East Texas Medical Center Trinity | General Acute Care Hospital | 315 Prospect Dr, Trinity, TX 75862-6202 | 2008-09-18 |
1023112299 | David Alan Price | Physician Assistant | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-09-11 |
1144252800 | Lawrence Quan | Family Medicine | 315 Prospect Dr, Trinity, TX 75862-6202 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215426473 | Linda Darnell Shaw | Licensed Vocational Nurse | 139 Pineland Dr, Trinity, TX 75862 | 2018-05-03 |
1942668280 | Elizabeth Jane Wilhite | Nurse Practitioner | 303 S Robb Street, Trinity, TX 75862 | 2016-02-01 |
1124428842 | Martin Senior Citizens Center, Inc. | In Home Supportive Care | 400 Walker Street, Trinity, TX 75862 | 2014-08-29 |
1649679135 | Nkechinyere Onwumere | Family Medicine | 714 South Robb Street, Trinty, TX 75862 | 2014-08-20 |
1023454329 | Abby L Warren-curtis | Dietitian, Registered | 312 Glendale Cem. Rd., Trinity, TX 75862 | 2013-05-14 |
1467787648 | East Texas Medical Center Trinity | Internal Medicine | 317 Prospect Drive, Trinity, TX 75862 | 2009-10-06 |
1821222837 | Stability Solutions, LLC | Prosthetic/Orthotic Supplier | 108 S. Robb, Suite #4, Trinity, TX 75862 | 2009-05-05 |
1669590220 | Cora A Armelin | Occupational Therapist | 103 Eva St, Trinity, TX 75862 | 2007-03-26 |
1912060526 | East Texas Medical Center Trinity | General Acute Care Hospital | 317 Prospect, Trinity, TX 75862 | 2006-12-18 |
1871116715 | Sunhee Kim | Pharmacist | 507 S Robb St Ste B, Trinity, TX 75862 | 2020-05-27 |
Find all providers in zip 75862 |
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 |
---|---|---|---|---|
1699792333 | Alexander H Gomez-luengas | Pediatrics | 10710 State Road 54, Suite 108, Trinity, FL 34655-2263 | 2006-07-17 |
1821014747 | Jay M Harvey | Pediatrics | 3012 Starkey Blvd, Trinity, FL 34655-2175 | 2006-07-14 |
1578519377 | Jessica Ilene Smith | Pediatrics | 2137 Little Rd, Trinity, FL 34655-4410 | 2006-05-25 |
1215908082 | Graciela F Egli | Pediatrics | 10710 State Road 54 Ste 108, Trinity, FL 34655-2263 | 2006-01-30 |
1366892127 | Neelam Khaira | Pediatrics | 10710 State Road 54 Ste 108, Trinity, FL 34655-2263 | 2016-06-13 |
1063874477 | Taylor Alberdi Bradley | Pediatrics | 10537 State Road 54, Trinity, FL 34655 | 2016-03-24 |
1932586310 | Carleigh N Eldayrie | Pediatrics | 10710 State Road 54 Ste 108, Trinity, FL 34655-2263 | 2015-05-05 |
1821418708 | Zsuzsanna G Scionti | Pediatrics | 10710 State Road 54 Ste 108, Trinity, FL 34655 | 2014-04-18 |
1912345497 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 10710 State Road 54 Ste 108, Trinity, FL 34655-2263 | 2013-06-06 |
1669771028 | Alisha Faye Pineiro | Pediatrics | 10710 State Road 54, Suite 108, Trinity, FL 34655-2263 | 2011-03-23 |
Find all providers in TRINITY |
Please comment or provide details below to improve the information on AMOL SUDHAKAR DESHPANDE.
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.