SHINE PEDIATRICS AND WELLNESS CENTER P.A. (NPI# 1609110832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609110832 |
| Entity Type | Organization |
| Organization Name | SHINE PEDIATRICS AND WELLNESS CENTER P.A. |
| Practice Address |
3600 Shire Blvd Suite 110 Richardson TX 75082-2240 |
| Practice Telephone | 4693331543 |
| Practice Fax Number | 8778789118 |
| Mailing Telephone | 4693331543 |
| Mailing Fax Number | 8778789118 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | DR. RANDY NAIDOO (PRESIDENT) |
| Authorized Official Telephone | 4699396336 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | M0506 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3600 SHIRE BLVD SUITE 110 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75082-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086846 | Allison F Singer | Dermatology | 3600 Shire Blvd, Suite 210, Richardson, TX 75082-2240 | 2005-07-12 |
| 1376689026 | Julie Ann Darby-jett | Dermatology | 3600 Shire Blvd, 210, Richardson, TX 75082-2240 | 2007-01-29 |
| 1104830033 | Randy Mel Naidoo | Pediatrics | 3600 Shire Blvd, Suite 110, Richardson, TX 75082-2240 | 2006-07-28 |
| 1114979796 | Mark Louis Bailey | Surgery | 3600 Shire Blvd, Ste 104, Richardson, TX 75082-2236 | 2006-05-16 |
| 1376595991 | Russ Deacon Birdwell | Surgery | 3600 Shire Blvd, Suite 104, Richardson, TX 75082-2240 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505367 | Texas Center for Hip & Knee Replacement Surgery, Pllc | Orthopaedic Surgery | Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 | 2018-07-20 |
| 1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
| 1174021760 | Kevin V Hua | Dentist | 4251 E. Renner Rd-, #126, Richardson, TX 75082 | 2018-01-29 |
| 1912410739 | Ntx Anesthesiology Consultants Pllc | Anesthesiology | 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 | 2017-11-15 |
| 1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
| 1720509763 | Neylu Inc | Durable Medical Equipment & Medical Supplies | 45 Dunrobin, Richardson, TX 75082 | 2017-06-29 |
| 1578006342 | Janice Sun Couch | Registered Nurse | 3201 E Pres. Georgebush Hwy St. 101, Richardson, TX 75082 | 2016-11-29 |
| 1134678873 | Fresenius Medical Care Renner Road, LLC | Clinic/Center | 3317 Essex Dr Ste 150, Richardson, TX 75082 | 2016-09-22 |
| 1639529308 | James G Gray | Counselor | 101 W Renner Rd Ste 220, Richardson, TX 75082 | 2016-06-14 |
| 1245695907 | Richardson Smiles Pllc | Dentist | 2000 N Plano Rd #106, Richardson, TX 75082 | 2015-12-23 |
| Find all providers in zip 75082 | ||||
| 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 |
|---|---|---|---|---|
| 1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
| 1144601857 | Rainbow Pediatrics of Dallas | Pediatrics | 1701 N Collins Blvd Ste 300, Richardson, TX 75080-3553 | 2015-06-18 |
| 1518351600 | Brandon Chu Lee | Pediatrics | 2831 East George Bush Highway, Richardson, TX 75082-3561 | 2015-03-26 |
| 1457588139 | Lora Brigid Rodriguez | Pediatrics | 5418 Kingston Dr, Richardson, TX 75082-4073 | 2009-06-19 |
| 1740453901 | Daniel T. Myint, M.d.p.a. | Pediatrics | 2097 N Collins Blvd Ste 198, Richardson, TX 75080-2684 | 2008-04-09 |
| 1063698843 | Alan J Yedwab Md Pa | Pediatrics | 2821 E President George Bush Hwy Ste 308, Richardson, TX 75082-4277 | 2008-01-11 |
| 1023209327 | Sung Hyun Paek | Pediatrics | 3001 George Bush Hwy Ste 250, Richardson, TX 75082-3552 | 2007-08-05 |
| 1063616738 | Sarah Barber Troendle | Pediatrics | 1112 N Floyd Rd Ste 7, Richardson, TX 75080-4243 | 2007-06-14 |
| 1811084379 | Reese A. Mathieu IIi | Pediatrics | 3601 Northstar Rd, Richardson, TX 75082-2608 | 2006-10-06 |
| 1861429862 | Patricia W Evans | Pediatrics | 513 Sage Valley Dr, Richardson, TX 75080-2324 | 2006-06-26 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75082 |
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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.