PEDS CENTER OF ROUND ROCK PA (NPI# 1033767975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033767975 |
| Entity Type | Organization |
| Organization Name | PEDS CENTER OF ROUND ROCK PA |
| Practice Address |
218 W Us Highway 290 Elgin TX 78621-3265 |
| Mailing Address |
7700 Cat Hollow Dr Ste 104 Round Rock TX 78681-5797 |
| Practice Telephone | 5122811900 |
| Practice Fax Number | 5122854100 |
| Mailing Telephone | 5127335437 |
| Mailing Fax Number | 5122441861 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | MR. VIVEKANAND DASARI (OWNER) |
| Authorized Official Telephone | 5127335437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578501 | Peds Center of Round Rock Pa | Pediatrics | 1301 Medical Pkwy Ste 310, Cedar Park, TX 78613-2529 | 2020-04-30 |
| 1477113223 | Peds Center of Round Rock Pa | Pediatrics | 12411 Hymeadow Dr Ste 3f, Austin, TX 78750-1829 | 2019-06-14 |
| 1316413958 | Peds Center of Round Rock Pa | Pediatrics | 1015 E 32nd St Ste 203, Austin, TX 78705-2700 | 2018-10-22 |
| 1013492420 | Peds Center of Round Rock Pa | Pediatrics | 1701 N Loop 250 W, Midland, TX 79707-6002 | 2018-10-02 |
| 1588149991 | Peds Center of Round Rock Pa | Pediatrics | 420 E 6th St Ste 203, Odessa, TX 79761-4572 | 2018-10-02 |
| 1508370701 | Peds Center of Round Rock Pa | Pediatrics | 1526 Leander Rd, Georgetown, TX 78628-8801 | 2017-11-27 |
| Street Address |
218 W US HIGHWAY 290 |
| City | ELGIN |
| State | TX |
| Zip Code | 78621-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033442975 | Jonathan Philip Dollison | Physician Assistant | 218 W Us Highway 290, Elgin, TX 78621-3265 | 2009-09-10 |
| 1790342467 | Helena Margarita Hernandez | Physician Assistant | 218 W Us Highway 290, Elgin, TX 78621-3265 | 2019-05-28 |
| 1487902524 | Shilpa Jayaramaswamy Sulochana | Pediatrics | 218 W Us Highway 290, Elgin, TX 78621-3265 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351192 | Elgin Cube Smiles Pllc | Dentist | 910 Lee Dildy Blvd #260, Elgin, TX 78621 | 2019-01-31 |
| 1114470267 | Michelle Hanh Ma | Optometrist | 1205 Highway 290 W, Elgin, TX 78621 | 2016-07-25 |
| 1336596493 | Anita Nepal Thapa | Dentist | 910 Lee Dildy Blvd, 260, Elgin, TX 78621 | 2016-05-18 |
| 1467826057 | Elgin Vision Pllc | Optometrist | 1205 W. Highway 290, Elgin, TX 78621 | 2015-11-19 |
| 1568868370 | Community Health Centers of South Central Texas Inc. | Clinic/Center | 711 W 10th St., Elgin, TX 78621 | 2014-11-06 |
| 1477826220 | Kimberly A Watts | Counselor | 509 N Highway 95, Elgin, TX 78621 | 2012-02-09 |
| 1396950655 | Robert Gerard Duhon | Acupuncturist | 1312 Hwy 290 W, Elgin, TX 78621 | 2007-05-11 |
| 1669598363 | Mary Forrest-wright | Counselor | 1501 Highway 290 W Ofc 1340, Elgin, TX 78621 | 2007-03-22 |
| 1811085350 | Carl Herring | Dentist | 306 N Hwy 95, Elgin, TX 78621 | 2006-10-10 |
| 1467555086 | Randy M Robertson | Dentist | 1309 N Ave C, Elgin, TX 78621 | 2006-09-07 |
| Find all providers in zip 78621 | ||||
| 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 |
|---|---|---|---|---|
| 1629251194 | Healthy Steps Pediatrics Ltd | Pediatrics | 211 E Chicago St, Elgin, IL 60120 | 2007-12-07 |
| 1730231390 | Geeti Ghosh | Pediatrics | 901 Center St Ste 209, Elgin, IL 60120-2120 | 2007-01-16 |
| 1598850646 | Henry Y Fang | Pediatrics | 1590 Weatherstone Ln, Elgin, IL 60123-2059 | 2006-10-04 |
| 1144326687 | Michael H Yuen | Pediatrics | 1590 Weatherstone Lane, Elgin, IL 60123 | 2006-09-15 |
| 1730171067 | Sharmita A Misra | Pediatrics | 1185 - 87 Dundee Ave, Ste A2 Attn Dundee Professional Center, Elgin, IL 60120-2232 | 2005-08-23 |
| 1487201752 | Leaps and Bounds Pediatric Therapy LLC | Pediatrics | 227 Springside Dr, Elgin, IL 60124-8476 | 2019-08-21 |
| 1710418223 | Ruth Christina Kakumanu | Pediatrics | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2017-03-26 |
| 1801245022 | Meagan Appleman | Pediatrics | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2016-06-08 |
| 1568878221 | Tejasi Gholap Md Sc | Pediatrics | 901 Center St, Suite 209, Elgin, IL 60120-2104 | 2014-07-02 |
| 1124438783 | Julie Jelaine Anderson | Pediatrics | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2014-05-05 |
| Find all providers in ELGIN | ||||
Please comment or provide details below to improve the information on PEDS CENTER OF ROUND ROCK PA.
| 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.