Wonder Kids Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L2984 Issued in TX

Legal business name

WONDER KIDS PEDIATRICS, PLLC

Practice address

20818 Gathering Oak
Suite 109
San Antonio, TX 78260-3104

Phone

(210) 762-6464

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Demetrios G Leiloglou, M.D.NPI 1508801879

Title

Owner/Physician

Phone

(210) 392-3506

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Demetrios G Leiloglou, M.D.

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1508801879
  NPD (past) Authorized official
• Elizabeth Paulk Owen, MD

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1578764197
  NPD (past)

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1215345202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18815 MILLHOLLOW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584258",
            "telephone_number": "210-392-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20818 GATHERING OAK",
            "address_2": "SUITE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782603104",
            "telephone_number": "210-762-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER KIDS PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "LEILOGLOU",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "210-392-3506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women Partners in OB/GYN LLP
• Women'S Clinic of San Antonio P.a.
• Womens Center at Westover Hills
• Womens Comprehensive Clinic for Internal Medicine PLLC
• Womens Comprehensive Clinic for Internal Medicine PLLC
• Jeannette Aidee Wong-Powell, OD
• Adrian Wong, M.D.
• Andrew Wae Wong, M.D.
• Belinda Wong, FNP
• Christine Danielle Wong, LPC

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.