Plano Children's Medical Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PLANO CHILDREN'S MEDICAL CLINIC

Practice address

303 S Highway 78
Suite 106
Wylie, TX 75098-3944

Phone

(972) 801-9689

Fax

(972) 801-9015

NPI assigned

Feb 28, 2011

Organization subpart

Yes

Parent organization

PLANO CHILDREN'S MEDICAL CLINICAs reported in NPPES

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

Authorized official

Name

Susan Shuler

Title

Executive Director

Phone

(972) 801-9689

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Plano Children's Medical Clinic2 organizations share this tax ID, including this one

Part of

Plano Children's Medical Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Plano Children's Medical Clinic

  • Primary Care Clinic/Center
  • Plano, TX
  • NPI 1457443095
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Plano Children's Medical Clinic

  • Primary Care Clinic/Center
  • Plano, TX
  • NPI 1457443095
  NPPES parent name

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1205133287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940109",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750940109",
            "telephone_number": "972-801-9689",
            "fax_number": "972-801-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S HIGHWAY 78",
            "address_2": "SUITE 106",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983944",
            "telephone_number": "972-801-9689",
            "fax_number": "972-801-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO CHILDREN'S MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANO CHILDREN'S MEDICAL CLINIC",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-801-9689"
    },
    "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": "083030901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083030902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Peurifoy
• Sarah Pham
• Pickett-Me-Up Psychological Services PLLC
• Tameka Nicole Pickett, PSY.D.
• Daralyn A. Plains, PH.D.
• Podiatric Medical Partners of Texas, PA (Wylie Foot Ankle Specialist)
• Pointe' Homehealth Corporation
• Randy Harold Points, LPC ASSOCIATE
• Jennifer Lynn Pomales, PA
• Tydesheaia Ladejenee Pool

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.