PRIME PEDIATRICS (NPI# 1861858367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861858367 |
| Entity Type | Organization |
| Organization Name | PRIME PEDIATRICS |
| Practice Address |
2005 E Griffin Pkwy 193 Mission TX 78572-3222 |
| Practice Telephone | 9562718050 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | DR. MOHAN BABU RAYALA (PEDIATRICIAN) |
| Authorized Official Telephone | 9562718050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Q6091 | TX | Ambulatory Health Care Facilities |
| Y | 208000000X | Pediatrics | Q6091 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2005 E GRIFFIN PKWY 193 |
| City | MISSION |
| State | TX |
| Zip Code | 78572-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962913772 | Health Care Agency, LLC | In Home Supportive Care | 2005 E Griffin Pkwy, Suite 235, Mission, TX 78572 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1710528187 | Te Cuidamos, LLC | Home Health | 2205 N Inspiration Rd, Ste A, Mission, TX 78572 | 2019-10-07 |
| 1356806475 | Severo Esteban Saenz | Physical Therapist | 816 Travis St Apt E55, Mission, TX 78572 | 2019-02-02 |
| 1609352715 | Community First Home Health | Home Health | 1707 Merlin, Mission, TX 78572 | 2018-07-12 |
| 1831681279 | Yuriko Garcia | Physician Assistant | 910 S. Bryan Rd., Suite #105, Mission, TX 78572 | 2018-06-01 |
| 1982193918 | Dalinda Valdez | Registered Nurse | 1707 Merlin Dr, Mission, TX 78572 | 2018-05-04 |
| 1487152260 | Azul Homecare, LLC. | Technician | 2007 East Griffin Parkway, Ste. C, Mission, TX 78572 | 2018-01-26 |
| 1760998371 | J Bravo Medical Services | Clinic/Center | 2001 W 3 Mile Line Rd, 2400 & 2500, Mission, TX 78572 | 2017-12-18 |
| 1821528654 | Bit Na Lee | Dentist | 213 E Expy 83, Mission, TX 78572 | 2017-06-14 |
| 1568901957 | Ofelia Perez Hernandez Dds Pllc | Dentist | 8360 W. Expy 83, Mission, TX 78572 | 2017-02-17 |
| Find all providers in zip 78572 | ||||
| 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 |
|---|---|---|---|---|
| 1730545708 | Riaz Shareef Md Pa | Pediatrics | 2603 San Efrain, Mission, TX 78572-3844 | 2016-01-06 |
| 1164865077 | Marian Makram Girgis | Pediatrics | 4851 Horton St, Mission, KS 66202-1758 | 2013-04-10 |
| 1407113210 | Kesturkoppal Maralidhara, M.d., P.a. | Pediatrics | 3200 5 Mile Line, Mission, TX 78574-6206 | 2012-04-18 |
| 1184920514 | Mission Childrens Day and Night Clinic | Pediatrics | 202 E Expwy 83, Mission, TX 78572-6020 | 2011-02-02 |
| 1922303510 | R. Sergio Ramirez, M.d., P.a. | Pediatrics | 3200 W Mile 5 Rd, Ste 3, Mission, TX 78574-6206 | 2011-01-13 |
| 1528223583 | Sergio G. Preciado, M.d., P.a. | Pediatrics | 1616 N. Conway Ave., Mission, TX 78572-4004 | 2008-07-18 |
| 1710149372 | Syed R Husain Md,pa | Pediatrics | 3005 N Conway Ave, Mission, TX 78574-2103 | 2008-06-25 |
| 1235307661 | Mission Childrens Clinic | Pediatrics | 1616 N Conway Ave, Mission, TX 78572-4004 | 2008-02-19 |
| 1316154875 | Ivelisse Santiago-barouhas | Pediatrics | 2130 E Griffin Pkwy, Mission, TX 78572-3225 | 2007-05-16 |
| 1235286295 | Syed Rashid Husain | Pediatrics | 3005 N Conway Ave., Mission, TX 78574 | 2007-01-04 |
| Find all providers in MISSION | ||||
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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.