AMARILLO PEDIATRIC ASSOCIATES, PLLC


Address: 1801 Halstead St, Amarillo, TX 79106-1830
Phone: 8063588526

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS 0014CK 01
TX SUPERIOR HEALTH PLAN 109449 01

Office Location

Street Address 1801 HALSTEAD ST
City AMARILLO
State TX
Zip Code 79106-1830

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194323568 Synergenx Health - Webster LLC Clinic/Center 19325 Gulf Fwy Ste 120, Webster, TX 77598-2812 2020-10-16
1821696253 Bio Drip, LLC Clinic/Center 935 Sunland Park Dr Ste 103, El Paso, TX 79922-1369 2020-10-16
1821696386 Blue Ocean Health Services LLC Clinic/Center 105 Clariden Ranch Rd, Southlake, TX 76092-1947 2020-10-15
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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Competitor

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City AMARILLO
Zip Code 79106

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Dataset Information

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.

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