Pediatric and Endocrinology PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC AND ENDOCRINOLOGY PLLC

Doing business as

Pediatrics & Endocrinology

Practice address

17115 Red Oak Drive
Suite 120
Houston, TX 77090-2641

Phone

(281) 781-8144

Fax

(281) 781-8853

NPI assigned

Jun 1, 2007

Last updated

Apr 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Naila Yunus Soorty, MD

Title

MD

Phone

(281) 781-8144

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Pediatrics & Endocrinology Doing business as

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1215139340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DRIVE",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "281-781-8144",
            "fax_number": "281-781-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DRIVE",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902641",
            "telephone_number": "281-781-8144",
            "fax_number": "281-781-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ENDOCRINOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "SOORTY",
        "authorized_official_first_name": "NAILA",
        "authorized_official_middle_name": "YUNUS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "281-781-8144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1550108",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290275101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-TYPE I",
            "identifier": "1285638676",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics & Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatrics & Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elise O Pedersen, RN, MSN, CPNP
• Kathryn Pedersen, LCSW
• Jeremie Richard Pederson, D.C.
• William C Pederson, M.D.
• Pedes Medical Rehab Clinic
• Pediatric Angels, Inc.
• Pediatric Associates
• Pediatric Cottage, P.a.
• Pediatric Dental Wellness
• Pediatric Executives

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.