PEDIATRIC ENDOCRINOLOGY OF NORTH TEXAS, PLLC (NPI# 1003238056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003238056 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ENDOCRINOLOGY OF NORTH TEXAS, PLLC |
| Practice Address |
6124 W Parker Rd Medical Office Building 3, Suite #330 Plano TX 75093-8122 |
| Mailing Address |
2221 Shakespeare St Carrollton TX 75010-4930 |
| Practice Telephone | 9406004861 |
| Practice Fax Number | 9406004866 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2015-12-26 |
| Authorized Official Name | DR. AMY MATHEW BURTON (OWNER) |
| Authorized Official Telephone | 9406004861 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
N7403 | TX | Ambulatory Health Care Facilities |
| Street Address |
6124 W PARKER RD MEDICAL OFFICE BUILDING 3, SUITE #330 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246808 | Dean A Cione | Surgery | 6124 W Parker Rd, Ste 436, Plano, TX 75093-8125 | 2005-06-21 |
| 1013491430 | Joel D Campbell, M.d., P.a. | Psychiatry & Neurology | 6124 W Parker Rd, Suite 432, Plano, TX 75093-8124 | 2018-09-21 |
| 1417409111 | Julianne Santarosa Md Pllc | Surgery | 6124 W Parker Rd, Suite 436, Plano, TX 75093-8122 | 2016-10-28 |
| 1295287381 | Angela M Watson, Md, Pa | Obstetrics & Gynecology | 6124 W Parker Rd, Ste 134, Plano, TX 75093-8122 | 2016-10-25 |
| 1609226786 | Shelbie Kristine Reed | Physician Assistant | 6124 W Parker Rd, Suite 234, Plano, TX 75093-8122 | 2016-06-20 |
| 1962872382 | Sudama Reddi M.d, P.a | Psychiatry & Neurology | 6124 W Parker Rd, Suite 432, Plano, TX 75093-8122 | 2015-09-28 |
| 1487082061 | Kyler E Elwell Md Pa | Obstetrics & Gynecology | 6124 W Parker Rd, Ste 134, Plano, TX 75093-8122 | 2013-10-17 |
| 1285980953 | West Plano Diabetes and Endocrine Center, P.a. | Internal Medicine | 6124 W Parker Rd, Suite 332, Plano, TX 75093-8122 | 2012-07-31 |
| 1730443805 | Michael A Deck Md Pa | Clinical Medical Laboratory | 6124 W Parker Rd, Suite G36, Plano, TX 75093-8122 | 2012-07-03 |
| 1437439528 | Rachael Lien Yeoman | Nurse Practitioner | 6124 W Parker Rd, Suite 560, Plano, TX 75093-8122 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888080 | Ameri Medical | Clinic/Center | 2301 Marsh Ln Ste 600, Plano, TX 75093-8497 | 2020-10-09 |
| 1902313588 | Bbg Cosmetic and Plastic Surgery | Clinic/Center | 5930 W Parker Rd Ste 600, Plano, TX 75093-6420 | 2018-01-04 |
| 1215386933 | North Texas Id Pa | Clinic/Center | 4517 Southgate Dr, Plano, TX 75024-2138 | 2016-06-03 |
| 1982082202 | Saman Facial Plastic Surgery, Pllc | Clinic/Center | 6508 Brantford Ct, Plano, TX 75093-6375 | 2015-05-07 |
| 1982979282 | Connexions Medical Diagnostics, LLC | Clinic/Center | 701 E Plano Pkwy Ste 115, Plano, TX 75074-6751 | 2012-03-20 |
| 1700163060 | Brenda L. Axmann, M.d P.a. | Clinic/Center | 6124 W Parker Rd Ste 334, Plano, TX 75093-8123 | 2011-11-14 |
| 1477906501 | Balance Diabetes and Endocrinology Pllc | Clinic/Center | 6533 Preston Rd, #100, Plano, TX 75024-2697 | 2016-07-13 |
| 1003160045 | Preventative and Therapeutic Cardiovascular Associates | Clinic/Center | 1708 Coit Rd, Suite 220-b, Plano, TX 75075-5024 | 2012-10-29 |
| 1649574922 | Dr Allan Sutker | Clinic/Center | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2010-12-31 |
| 1679875140 | Robert C. Terrill, P.a. | Clinic/Center | 1220 Coit Rd, Suite 101, Plano, TX 75075-7757 | 2010-12-03 |
| Find all providers in PLANO | ||||
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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.