Angelina Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ANGELINA PEDIATRICS PLLC

Practice address

1222 Ellis Ave
Lufkin, TX 75904-3326

Phone

(936) 634-9233

Fax

(936) 634-9353

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. George S Fidone, MDNPI 1114039138

Title

Co Owner

Phone

(936) 634-9233

Specialties & licenses 1

Addresses

Other identifiers 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 6

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

• George S Fidone, MD

  • Pediatric Adolescent Medicine Physician
  • Lufkin, TX
  • NPI 1114039138
  NPD (past) Authorized official
• Jeremy Belschner, NP

  • Nurse Practitioner
  • Lufkin, TX
  • NPI 1871822353
  NPD (past)
• Amanda Selia Davis, CPNP

  • Pediatric Nurse Practitioner
  • Woodville, TX
  • NPI 1417467994

  Pediatrics

  NPD (past)
• Kari Lynn Hunt, RN, MSN FNP-C

  • Nurse Practitioner
  • Willis, TX
  • NPI 1588012645
  NPD (past)
• Kristina Marie Malnar, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1497360176
  NPD (past)
• Jaimee Gandy Varner, APRN

  • Pediatric Nurse Practitioner
  • Lufkin, TX
  • NPI 1689094351
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1154425494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150638",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75915",
            "telephone_number": "936-634-9233",
            "fax_number": "936-634-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-634-9233",
            "fax_number": "936-634-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "FIDONE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "936-634-9233",
        "authorized_official_name_prefix": "Mr.",
        "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": "092130602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelina Family Medicine, P.a.
• Angelina Home and Community Support Services, Inc.
• Angelina Internal Medicine Associates
• Angelina Neurology PA
• Angelina Optometric Associates
• Angelina Physician Services PA
• Angelina Radiation Oncology Associates
• Angelina Rehabilitation Center, LLC
• Angelina Sleep Lab LTD
• Angelina Surgical Assistants LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.