Organization Active NPI

Grow Pediatrics and Adolescent Medicine PLLC

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1154730729
Registry record updated Nov 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GROW PEDIATRICS AND ADOLESCENT MEDICINE PLLC
Practice address
1401 Philomena St Ste 120
Austin, TX 78723-3574
Phone
(512) 467-7334
Fax
(512) 467-7335
NPI assigned
Aug 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2023

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

Authorized official

Name
Emily Arreaza
Title
Practice Administrator
Phone
(512) 467-7334

Specialties & licenses 1

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

Addresses

Primary practice location

1401 Philomena St Ste 120
Austin, TX 78723-3574

Mailing address

1401 Philomena St Ste 120
Austin, TX 78723-3574
Phone (512) 467-7334

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
45D2078526Grow Pediatrics and Adolescent Medicine1401 Philomena Street, Suite # 120, Austin, TX 78723Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory

Locations

1401 Philomena St
Ste 120
Austin, TX 78723
Phone (512) 467-7334

1600 W 38th St
Ste 105
Austin, TX 78731
Phone (512) 454-2744

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700870400000",
    "number": "1154730729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PHILOMENA ST STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233574",
            "telephone_number": "512-467-7334",
            "fax_number": "512-467-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PHILOMENA ST STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233574",
            "telephone_number": "512-467-7334",
            "fax_number": "512-467-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW PEDIATRICS AND ADOLESCENT MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A",
        "authorized_official_last_name": "ARREAZA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "512-467-7334"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2023; 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.