AMARILLO PEDIATRIC ASSOCIATES, PLLC (NPI# 1184682221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184682221 |
Entity Type | Organization |
Organization Name | AMARILLO PEDIATRIC ASSOCIATES, PLLC |
Practice Address |
1801 Halstead St Amarillo TX 79106-1830 |
Mailing Address |
1801 Halstead St Amarillo TX 79106-1811 |
Practice Telephone | 8063588526 |
Practice Fax Number | 8063580179 |
Mailing Telephone | 8063588526 |
Mailing Fax Number | 8063580179 |
Enumeration Date | 2006-05-01 |
Last Update Date | 2007-11-30 |
Authorized Official Name | SHU SHUM (MANAGER) |
Authorized Official Telephone | 8063588526 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS | 0014CK | 01 |
TX | SUPERIOR HEALTH PLAN | 109449 | 01 |
Street Address |
1801 HALSTEAD ST |
City | AMARILLO |
State | TX |
Zip Code | 79106-1830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104883206 | Shu Shum | Pediatrics | 1801 Halstead St, Amarillo, TX 79106-1830 | 2006-05-01 |
1124665161 | Leslee Richelle Rosas | Nurse Practitioner | 1801 Halstead St, Amarillo, TX 79106-1830 | 2019-12-10 |
1225695737 | 1 Np Inc | Nurse Practitioner | 1801 Halstead St, Amarillo, TX 79106-1830 | 2019-05-21 |
1124537741 | Terra Shea Gearn | Nurse Practitioner | 1801 Halstead St, Amarillo, TX 79106 | 2017-09-26 |
1679680839 | Mary Ann Piskun | Plastic Surgery | 1801 Halstead St, Suite B, Amarillo, TX 79106-1830 | 2006-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
Find all providers in zip 79106 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053742361 | Fmc Clinics, P.a. | Clinic/Center | 3552 S. Soncy, Amarillo, TX 79119-1111 | 2013-12-12 |
1649650011 | Ufirst Healthcare LLC | Clinic/Center | 201 Westgate Pkwy Unit A, Amarillo, TX 79121-1109 | 2015-06-01 |
1063816379 | Women's & Children's Healthcare Center | Clinic/Center | 814 Martin Rd, Amarillo, TX 79107-6814 | 2014-10-15 |
1508051293 | Act Physician Group, P.a. | Clinic/Center | 3300 I-40 E, Suite 400, Amarillo, TX 79103-4801 | 2007-09-06 |
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1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
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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.