Edilgrace A Pecson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M2011 Issued in TX

Practice address

1005 W Ralph Hall Pkwy
Suite 135
Rockwall, TX 75032-6658

Phone

(972) 772-3100

Fax

(214) 520-7120

NPI assigned

Mar 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edilgrace A Pecson Phipps Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dallas Physician Medical Services for Children Inc

  dba Children's Health Medical Group

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1558407908
  NPD (past)
• Pecan Tree Pediatrics, P.a.

  • Pediatrics Physician
  • Rockwall, TX
  • NPI 1073802724
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1285694851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY",
            "address_2": "SUITE 135",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326658",
            "telephone_number": "972-772-3100",
            "fax_number": "214-520-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY",
            "address_2": "SUITE 135",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326658",
            "telephone_number": "972-772-3100",
            "fax_number": "214-520-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECSON",
        "first_name": "EDILGRACE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177973803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDILGRACE",
            "last_name": "PECSON PHIPPS",
            "middle_name": "A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• PCW (Performance Chiropractic and Wellness)
• Pear Pediatrics PLLC
• Pearle Vision Express (Vision Health Services)
• Melissa Nicho Pearson, PA
• Pecan Tree Pediatrics, P.a.
• Peculiar Penguim LLC
• Peculiar Penguim LLC
• Pedatric Sleep Solutions, Inc.
• Pediatric Clinic of Rockwall, PA
• Nicholas Peek

• Pediatrics Physician in Rockwall, TX
• Providers in Rockwall, 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 14, 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.