Organization Active NPI

West Texas Pediatric Cardiology

  • Pediatric Cardiology Physician
  • Lubbock, TX
National Provider Identifier
1245456276
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
WEST TEXAS PEDIATRIC CARDIOLOGY
Practice address
3702 20TH St
Suite B
Lubbock, TX 79410-1206
Phone
(806) 791-5930
Fax
(806) 791-5937
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Somkid Sridaromont, MD
Title
Owner
Phone
(806) 791-5930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

3702 20TH St
Suite B
Lubbock, TX 79410-1206

Mailing address

3702 20TH St
Suite B
Lubbock, TX 79410-1206
Phone (806) 791-5930

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1245456276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 20TH ST",
            "address_2": "SUITE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101206",
            "telephone_number": "806-791-5930",
            "fax_number": "806-791-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 20TH ST",
            "address_2": "SUITE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101206",
            "telephone_number": "806-791-5930",
            "fax_number": "806-791-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS PEDIATRIC CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "SRIDAROMONT",
        "authorized_official_first_name": "SOMKID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-791-5930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.