Bayshore Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BAYSHORE PEDIATRICS

Practice address

4024 Brookhaven Ave
Pasadena, TX 77504-1902

Phone

(713) 944-2324

NPI assigned

May 15, 2007

Last updated

Nov 28, 2011By 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

Dr. Karim H Romman, MDNPI 1003971755

Title

President

Phone

(713) 944-2324

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Memorial Pediatrics

  • Pediatrics Physician
  • Houston, TX
  • NPI 1134313158
  NPPES parent name

Practitioners 9

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.

• Karim H Romman, M.D.

  • Pediatrics Physician
  • Pasadena, TX
  • NPI 1003971755
  NPD (past) Authorized official
• Macie Maxfield Boden, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1083208920

  Pediatrics

  NPD (past)
• Lori Dean, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1144946930
  NPD (past)
• Ramie Anita Dowell, PA-C

  • Physician Assistant
  • Killeen, TX
  • NPI 1184348245
  NPD (past)
• Rosalinda Herrera

  • Pediatric Nurse Practitioner
  • Houston, TX
  • NPI 1013502061
  NPD (past)
• Mary Beth Cheever Keith, M.D.

  • Pediatrics Physician
  • Alvin, TX
  • NPI 1942695069
  NPD (past)
• Ana Licona, APRN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1861926289
  NPD (past)
• Joann Chacko Samuel, PA-C

  • Physician Assistant
  • Dickinson, TX
  • NPI 1114419462
  NPD (past)
• Sibi Sarah Varghese, MD

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1083964654
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1114133394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 BROOKHAVEN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041902",
            "telephone_number": "713-944-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 BROOKHAVEN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041902",
            "telephone_number": "713-944-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "ROMMAN",
        "authorized_official_first_name": "KARIM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-944-2324",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149430402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111822602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111822604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118222601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149430401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bayshore Area Pediatric Clinic, PA
• Bayshore Dermatology Clinic
• Bayshore Dermatology Clinic
• Bayshore Health Mart, Inc. (Bayshore Health Mart)
• Bayshore Optical Company
• Bayshore Pharmacy Inc (Bayshore Pharmacy)
• Bayshore Radiation Oncology Services, PLLC
• Bayshore Surgery Center, LTD (Bayshore Surgery Center)
• Bayside a S C LP (Bayside Surgery Center)
• Marvin L Baza Jr., O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.