Pearland Diagnostic Clinic, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MDH7345 Issued in TX

Legal business name

PEARLAND DIAGNOSTIC CLINIC, PA

Practice address

1834 Broadway St
Suite 102
Pearland, TX 77581-5668

Phone

(281) 997-8181

Fax

(281) 997-8184

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph H Roosth, M.D.NPI 1851308787

Title

Owner

Phone

(281) 997-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Howard Roosth, M.D.

  • Internal Medicine Physician
  • Pearland, TX
  • NPI 1851308787
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1194970756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 BROADWAY ST",
            "address_2": "SUITE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815668",
            "telephone_number": "281-997-8181",
            "fax_number": "281-997-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 BROADWAY ST",
            "address_2": "SUITE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815668",
            "telephone_number": "281-997-8181",
            "fax_number": "281-997-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND DIAGNOSTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "ROOSTH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-997-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "MDH7345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128481204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearland Convalescent Center
• Pearland Dental
• Pearland Dental Associates PLLC
• Pearland Dental Care LLC
• Pearland Dentists, PC
• Pearland DME Supply LLC
• Pearland Elite Women'S Health, PLLC
• Pearland Emergency Center, LLC
• Pearland ENT PA
• Pearland Family Wellness Clinic LLC

• Primary Care Clinic/Center in Pearland, TX
• Providers in Pearland, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.