FIREFLY PEDIATRICS, PLLC (NPI# 1952727109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952727109 |
| Entity Type | Organization |
| Organization Name | FIREFLY PEDIATRICS, PLLC |
| Practice Address |
2148 Jackson Keller Rd San Antonio TX 78213-2722 |
| Practice Telephone | 2105010703 |
| Practice Fax Number | 2105260334 |
| Mailing Telephone | 2105010703 |
| Mailing Fax Number | 2105260334 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | MICHAEL LEE SEGURA (ADMINISTRATOR) |
| Authorized Official Telephone | 5129401027 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
P3769 | TX | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | P3769 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 336517301 | 05 |
| Street Address |
2148 JACKSON KELLER RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78213-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396912762 | Aleli Casino Masajo | Pediatrics | 2148 Jackson Keller Rd, San Antonio, TX 78213-2722 | 2008-05-14 |
| 1396227856 | Maxine Lerma Aranda | Pediatrics | 2148 Jackson Keller Rd, San Antonio, TX 78213-2722 | 2018-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198311 | Suzanne Danial | Behavior Technician | Bloom Behavioral and Educational Solutions, 1850 Lockhill Selma Rd #106, San Antonio, TX 78213 | 2020-06-09 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1326540816 | Alexus Danielle Tant-quintero | Licensed Vocational Nurse | 1300 Patricia, San Antonio, TX 78213 | 2018-03-01 |
| 1841714672 | San Antonio Endodontics Associates LLC | Dentist | 1110 Nw Loop 410, Suite 515, San Antonio, TX 78213 | 2017-08-02 |
| 1104285022 | West Avenue Dental Partners Pllc | Dentist | 4812 West Avenue, Suite 101, San Antonio, TX 78213 | 2016-02-19 |
| 1568829570 | Stephanie Motes | Counselor | 1919 Nw Loop 410 Ste 201, San Antonio, TX 78213 | 2016-01-21 |
| 1508236506 | Pediatric Home Healthcare, LLC | Home Health | 6800 Park Ten Blvd Ste 140e, San Antonio, TX 78213 | 2015-10-02 |
| 1457775439 | Larry Roberto Dela Cruz | Specialist/Technologist, Other | 218 Mackey Drive, San Antonio, TX 78213 | 2014-02-11 |
| 1437424306 | Kellie Miller | Nurse Practitioner | 2211 Nw Military Highway, 207, Castle Hills, TX 78213 | 2012-03-12 |
| 1619248416 | Karri Ann Lusk | Psychologist | 2161 Nw Military Hwy., Suite 207, San Antonio, TX 78213 | 2012-01-25 |
| Find all providers in zip 78213 | ||||
| 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 |
|---|---|---|---|---|
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1821606062 | Alamo City Healthy Kids and Families, Pllc | Pediatrics | 1919 Oakwell Farms Pkwy Ste 125, San Antonio, TX 78218-1720 | 2020-07-14 |
| 1508403585 | Michelle Ann Portis | Pediatrics | 502 Madison Oak Dr Ste 245, San Antonio, TX 78258-4086 | 2019-12-09 |
| 1144782970 | Kelly L Thomas | Pediatrics | 10011 Ink Wells Dr, San Antonio, TX 78250-7011 | 2019-04-01 |
| 1407384605 | Whitney Taylor | Pediatrics | 8606 Village Dr Unit A, San Antonio, TX 78217-5506 | 2017-06-01 |
| 1811428147 | Karen Lee Garay | Pediatrics | 13750 San Pedro Ave Ste 150, San Antonio, TX 78232-4382 | 2017-03-27 |
| 1538510664 | Suzanna Elizabeth Maupin | Pediatrics | 7355 Barlite Blvd Ste 201, San Antonio, TX 78224-1340 | 2016-06-30 |
| 1366804866 | Allison Wells Morales | Pediatrics | 11085 Bandera Rd # 102, San Antonio, TX 78250-6814 | 2016-03-23 |
| 1275995771 | Pedro Zavala | Pediatrics | 11503 Nw Military Hwy Ste 113, San Antonio, TX 78231-1998 | 2016-03-23 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78213 |
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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.