Over the Moon Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OVER THE MOON PEDIATRICS, PLLC

Practice address

17189 I-45 South
Suite 235
The Woodlands, TX 77385

Phone

(832) 539-7532

Fax

(888) 450-0782

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Angeline Suhendra, MDNPI 1356615553

Title

Owner

Phone

(832) 640-8382

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Michelle Angeline Suhendra, M.D.

  • Pediatrics Physician
  • The Woodlands, TX
  • NPI 1356615553
  NPD Authorized official
• Roma Bhandarkar, MD

  • Pediatrics Physician
  • Woodlands, TX
  • NPI 1205576253
  NPD
• Ayeshum Rasool, MD

  • Pediatrics Physician
  • Shenandoah, TX
  • NPI 1386386555
  NPD
• Brett Henry Hurliman, M.D.

  • Pediatrics Physician
  • Tinley Park, IL
  • NPI 1518291145
  NPD

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1104462753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17189 I-45 SOUTH",
            "address_2": "SUITE 235",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773854793",
            "telephone_number": "832-539-7532",
            "fax_number": "832-336-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 I-45 SOUTH",
            "address_2": "SUITE 235",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77385",
            "telephone_number": "832-539-7532",
            "fax_number": "888-450-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVER THE MOON PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "SUHENDRA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANGELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-640-8382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.suhendra@otmp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD/CCDA, PDF",
            "address_1": "17189 I-45 South",
            "address_2": "Suite 235",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline Sue Osteen, BSN, MSN, ARNP-CANP
• Valerie Marie Ostermeyer, PT, DPT, ATC
• Outcome Counseling
• Outpatient Surgery Center of the Woodlands (The Surgery Center of The Woodlands)
• Sarah Marian Ouzounian Sidhu, APRN
• Vanessa Oviedo
• Ann Frances Owen, MSN, APRN, FNP-C
• Oluseyi Ezekiel Oyerinde, PHARM D
• Annalisa Pablo, OTR
• Teresa Lynn Pace, PH.D., M.ED., LPC

• Pediatrics Physician in The Woodlands, TX
• Providers in The Woodlands, 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 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.