Heritage Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HERITAGE PEDIATRICS, PLLC

Practice address

7959 Broadway St
Suite 604
San Antonio, TX 78209-2667

Phone

(210) 824-7938

Fax

(210) 805-9523

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John Thomas Fitch Jr., M.D.NPI 1972502649

Title

President

Phone

(210) 826-8419

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• John Thomas Fitch Jr., M.D.

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1972502649
  NPD (past) Authorized official
• Chelsea Castillo, DO

  • Student in an Organized Health Care Education/Training Program
  • Houston, TX
  • NPI 1518429034
  NPD (past)
• John T. Gibson, M.D.

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1730491804
  NPD (past)
• Joshua Tardy, MD

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1962606459
  NPD (past)

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1245589233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 BROADWAY ST",
            "address_2": "SUITE 604",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092667",
            "telephone_number": "210-824-7938",
            "fax_number": "210-805-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 BROADWAY ST",
            "address_2": "SUITE 604",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092667",
            "telephone_number": "210-824-7938",
            "fax_number": "210-805-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-826-8419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin James Heriford, DO
• Heritage Dental
• Heritage Dental Center
• Heritage Health Center
• Heritage Oaks Management LLC
• Ruby Layla Heritage, RPHT
• Chandler Herman
• Diana L Herman, PTA
• Glenn Herman, MPT
• Sandra Sue Herman, M.D.

• 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 Aug 12, 2013; 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.