Organization Active NPI

Fairmont Pediatrics and Associates

  • Pediatrics Physician
  • Pasadena, TX
National Provider Identifier
1144405762
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J9094 Issued in TX
Legal business name
FAIRMONT PEDIATRICS AND ASSOCIATES
Practice address
4002 Burke Rd Ste 200
Pasadena, TX 77504-3451
Phone
(281) 487-5437
Fax
(281) 487-7054
NPI assigned
Jan 2, 2008
Last updated
Nov 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Mr. Joe Ocera
Title
Provider Relations
Phone
(281) 487-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X J9094 TX Primary

Addresses

Primary practice location

4002 Burke Rd Ste 200
Pasadena, TX 77504-3451

Mailing address

4002 Burke Rd Ste 200
Pasadena, TX 77504-3451
Phone (281) 487-5437

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0948522Fairmont Pediatrics and Associates4002 Burke Rd Ste 200, Pasadena, TX 77504Provider-performed microscopyJul 12, 2028

National Provider Directory

National Provider Directory

Locations

4002 Burke Rd
Ste 200
Pasadena, TX 77504
Phone (281) 487-5437

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1144405762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 BURKE RD STE 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043451",
            "telephone_number": "281-487-5437",
            "fax_number": "281-487-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 BURKE RD STE 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043451",
            "telephone_number": "281-487-5437",
            "fax_number": "281-487-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT PEDIATRICS AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "OCERA",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "281-487-5437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.