Pediatric Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES

Practice address

4501 Groveway
Houston, TX 77087

Phone

(713) 644-1568

Fax

(713) 644-1864

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Martin Yudovich, MDNPI 1285799890

Title

Owner President

Phone

(713) 644-1568

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Yudovich, MD

  • Pediatrics Physician
  • Houston, TX
  • NPI 1285799890
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1073674206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 GROVEWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77087",
            "telephone_number": "713-644-1568",
            "fax_number": "713-644-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 GROVEWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77087",
            "telephone_number": "713-644-1568",
            "fax_number": "713-644-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "YUDOVICH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "713-644-1568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121131002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00M924",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICADE",
            "identifier": "121131004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremie Richard Pederson, D.C.
• William C Pederson, M.D.
• Pedes Medical Rehab Clinic
• Pediatric and Endocrinology PLLC
• Pediatric Angels, Inc.
• Pediatric Cottage, P.a.
• Pediatric Dental Wellness
• Pediatric Executives
• Pediatric Healthcare of Northwest Houston PA
• Pediatric Healthcare of Northwest Houston PA

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.