PEDIATRIC ASSOCIATES (NPI# 1073674206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073674206 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES |
| Practice Address |
4501 Groveway Houston TX 77087 |
| Practice Telephone | 7136441568 |
| Practice Fax Number | 7136441864 |
| Mailing Telephone | 7136441568 |
| Mailing Fax Number | 7136441864 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-02-09 |
| Authorized Official Name | MARTIN YUDOVICH (OWNER PRESIDENT) |
| Authorized Official Telephone | 7136441568 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICADE | 121131004 | 01 |
| TX | BCBS | 00M924 | 01 |
| TX | 121131002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205974623 | Pediatric Associates | Pediatrics | 450 Veterans Memorial Pkwy Bldg 10, East Providence, RI 02914-5300 | 2007-02-01 |
| 1013954510 | Pediatric Associates | Pediatrics | 321c E College Ave, Stanton, KY 40380-2325 | 2006-06-01 |
| 1851348338 | Pediatric Associates | Pediatrics | 156 Island Creek Road, Pikeville, KY 41501 | 2006-05-28 |
| 1487600615 | Pediatric Associates | Family Medicine | 1710 N Main St, Pediatric Associates, Hazard, KY 41701-1278 | 2006-05-26 |
| 1851848899 | Pediatric Associates | Specialist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2016-09-07 |
| 1710318886 | Pediatric Associates | Pediatrics | 1001 Hioaks Rd, Richmond, VA 23225-4029 | 2013-11-27 |
| 1366735581 | Pediatric Associates | Physician Assistant | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2011-05-20 |
| 1295921534 | Pediatric Associates | Clinic/Center | 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902-4517 | 2007-09-20 |
| 1639257215 | Pediatric Associates | Specialist | 59325 River West Drive, Suite D, Plaquemine, LA 70764 | 2006-11-01 |
| 1811941057 | Pediatric Associates | Pediatrics | 30 Medical Center Blvd, Suite 103, Upland, PA 19013-3955 | 2006-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PEDIATRIC ASSOCIATES FOR LANGUAGE AND SPEECH, PLLC | 333 West 57th St., Ste 107, New York, Ny 10019 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES INC. OF BROCKTON | 370 Oak Street, Brockton, MA 02301 |
| Iowa Business Entities | PEDIATRIC ASSOCIATES IOWA CITY BUILDING PARTNERSHIP LLP | 605 E Jefferson St, Iowa City, IA 52245 |
| Virginia Business Entities | PEDIATRIC ASSOCIATES OF ALEXANDRIA INC. | 6355 Walker Lane #401, Alexandria, Virginia 22310 |
| Virginia Business Entities | PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE P.L.C. | 1011 E Jefferson St, Charlottesville, Virginia 22902 |
| Iowa Business Entities | PEDIATRIC ASSOCIATES OF CORALVILLE BUILDING PARTNERSHIP LLP | 605 E Jefferson St, Iowa City, IA 52245 |
| Colorado Business Entities | Pediatric Associates of Durango, Inc. | 29423 Highway 160, Durango, CO 81301 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES OF FALL RIVER, INC. | 851 Middle St., Fall River, MA 02721 |
| Massachusetts Corporations | PEDIATRIC ASSOCIATES OF FRANKLIN COUNTY, P.C. | 56 Main St., Turners Falls, MA 01376 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC ASSOCIATES OF GRESHAM, P.C. | 2150 Ne Division St Ste 103, Gresham, OR 97030 |
| Street Address |
4501 GROVEWAY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972617736 | Groveway Pharmacy, Inc. | Pharmacist | 4501 Groveway, Houston, TX 77087-1122 | 2006-08-18 |
| 1992827836 | Selma B Guttin | Dentist | 4501 Groveway, Houston, TX 77087 | 2007-04-04 |
| 1285799890 | Martin Yudovich | Pediatrics | 4501 Groveway, Houston, TX 77087 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194350918 | Kirtan Patel | Student in an Organized Health Care Education/Training Program | 8447 Riverside Parkway, Bryan, TX 77087 | 2020-03-12 |
| 1902431232 | Jakelyn Esmeralda Alfaro | Family Medicine | 3420 Woodrridge Dr., Houston, TN 77087 | 2020-03-06 |
| 1518509827 | Paul Torres | Technician | 7002 Hemlock Apt. #1, Houston, TX 77087 | 2019-10-09 |
| 1841849254 | Shirley M Stredic | Technician | 6631 Reed Rd., Houston, TX 77087 | 2019-09-09 |
| 1376046342 | Priscilla Marie Williams | Personal Emergency Response Attendant | Mtss-priscilla: 5921 Northdale Rd Houtx 77087, Houston, TX 77087 | 2018-03-15 |
| 1639688187 | Ebony Iheanacho | Case Manager/Care Coordinator | 7011 Village Way #410, Houston, TX 77087 | 2017-09-27 |
| 1316300908 | Journey Through Life Tx LLC | Counselor | 7151 Office City Dr, Houston, TX 77087 | 2016-03-31 |
| 1528427531 | Katherine Winlin Tsai | Pharmacist | 3111 Woodridge, Ste. 500, Houston, TX 77087 | 2016-02-18 |
| 1134517428 | Gulfgate Kidney Center, LLC | Clinic/Center | 2916 Woodridge Dr, Houston, TX 77087 | 2015-01-08 |
| 1639577372 | Mann Eye2 20/20 Express | Optometrist | 2903 Woodbridge, Suite1290, Houston, TX 77087 | 2014-12-11 |
| Find all providers in zip 77087 | ||||
| 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 |
|---|---|---|---|---|
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1821612276 | Rainbow Pediatrics of Houston, Pllc. | Pediatrics | 12822 Veterans Memorial Dr, Houston, TX 77014-2049 | 2020-06-02 |
| 1730651688 | Jennifer Anne Sauve | Pediatrics | 3131 Timmons Ln Apt 1124, Houston, TX 77027-6075 | 2018-12-17 |
| 1972071207 | Peekaboo Pediatrics | Pediatrics | 1740 W 27th St Ste 305, Houston, TX 77008-1437 | 2018-11-05 |
| 1235605064 | Bola Olasunkanmi Jaiyeola | Pediatrics | 8338 W Sam Houston Pkwy S Ste 198, Houston, TX 77072-5088 | 2018-10-19 |
| 1013498690 | Ut Physicians Specialty Services | Pediatrics | 5516 Lockwood Dr., Houston, TX 77026-1919 | 2018-08-22 |
| 1366928418 | Ut Physicians Specialty Services | Pediatrics | 9105 N. Wayside Dr., Houston, TX 77028-1030 | 2018-07-12 |
| 1811486814 | Cypress Creek Pediatric Clinic | Pediatrics | 4560 Cypress Creek Pkwy Ste 100, Houston, TX 77069-4628 | 2018-05-04 |
| 1568963049 | Elizabeth Renee Holland | Pediatrics | 1875 Post Oak Park Dr Apt 721, Houston, TX 77027-3471 | 2018-02-21 |
| 1427579366 | Ut Physicians | Pediatrics | 9801 Long Point Rd, Houston, TX 77055-4188 | 2017-06-30 |
| Find all providers in HOUSTON | ||||
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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.