Park Valley Pediatrics, P.L.L.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PARK VALLEY PEDIATRICS, P.L.L.C.

Practice address

16040 Park Valley Dr
Suite # 227
Round Rock, TX 78681-3578

Phone

(512) 255-7337

Fax

(512) 828-0451

NPI assigned

May 22, 2015

Last updated

May 22, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Hathaway

Title

Billing/Credentialing

Phone

(512) 255-7337

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Gabriel C Millar, M.D.

  • Pediatrics Physician
  • Round Rock, TX
  • NPI 1386732675
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1033598123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1255",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786801255",
            "telephone_number": "512-255-7337",
            "fax_number": "512-828-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 PARK VALLEY DR",
            "address_2": "SUITE # 227",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813578",
            "telephone_number": "512-255-7337",
            "fax_number": "512-828-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VALLEY PEDIATRICS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "512-255-7337"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Papenfus, LCDC
• Rajendra C Parikh, M.D.
• Kelli Parish, FNP-C
• Park Valley Health Care Center LTD. Co. (Park Valley Inn Health Center)
• Park Valley Operations LLC
• Connie Park, PH.D.
• Hyun Ji Park, DDS
• Sang- Jun Park
• Danita Marie Parker, PA-C
• Ehrin E Parker, DO

• Pediatrics Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.