Pediatric Cottage, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H5376 Issued in TX

Legal business name

PEDIATRIC COTTAGE, P.A.

Practice address

7007 North Fwy
Suite 305
Houston, TX 77076-1324

Phone

(713) 697-3030

Fax

(713) 697-5678

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie Zucconi

Title

Office Manager

Phone

(713) 697-3030

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1295974434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY",
            "address_2": "SUITE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761324",
            "telephone_number": "713-697-3030",
            "fax_number": "713-697-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY",
            "address_2": "SUITE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761324",
            "telephone_number": "713-697-3030",
            "fax_number": "713-697-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC COTTAGE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "ZUCCONI",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-697-3030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H5376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10014907",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88160S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William C Pederson, M.D.
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• Pediatric Associates
• Pediatric Dental Wellness
• Pediatric Executives
• Pediatric Healthcare of Northwest Houston PA
• Pediatric Healthcare of Northwest Houston PA
• Pediatric Helping Hands Therapy, LLC

• 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 Feb 11, 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.