Angel Pediatrics P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L8604 Issued in TX

Legal business name

ANGEL PEDIATRICS P.A.

Practice address

717 S Greenville Ave
Suite 104
Allen, TX 75002-3317

Phone

(972) 396-1900

Fax

(972) 591-4589

NPI assigned

Dec 5, 2008

Organization subpart

No

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

Authorized official

Name

Christine Loya

Title

Office Manager

Phone

(214) 616-6783

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Angela E Asom, MD

  • Pediatrics Physician
  • Allen, TX
  • NPI 1497762629
  NPD (past)

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1205071206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S GREENVILLE AVE",
            "address_2": "SUITE 104",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023317",
            "telephone_number": "972-396-1900",
            "fax_number": "972-591-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S GREENVILLE AVE",
            "address_2": "SUITE 104",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023317",
            "telephone_number": "972-396-1900",
            "fax_number": "972-591-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL PEDIATRICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LOYA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-616-6783"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L8604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPI- GROUP HEALTH STEPS",
            "identifier": "200598502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPI - GROUP",
            "identifier": "200598501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TX INDIVIDUAL TPI",
            "identifier": "200601701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L8604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Deane Anderson, M.D.
• Meredith Anderson
• Shannon Anderson
• Anew Therapy, PLLC
• Angel Health Care Services PC
• Chioma Anikwe, NP-C
• Antoniette Signatures Home Care Inc.
• Anjaly Antony
• Abiola Anyebe
• Apex Home Health Care and Management LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.