Pediatrix Emergent and Critical Care Services, L.L.C.

Primary specialty

Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X

Legal business name

PEDIATRIX EMERGENT AND CRITICAL CARE SERVICES, L.L.C.

Practice address

3001 E President George Bush Hwy
Suite 250
Richardson, TX 75082-3542

Phone

(800) 243-3839

Fax

(954) 858-0434

NPI assigned

Jul 23, 2009

Last updated

Apr 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tony Lacaze

Title

Authorized Signatory

Phone

(888) 822-2855

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1326278375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839",
            "fax_number": "954-858-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823542",
            "telephone_number": "800-243-3839",
            "fax_number": "954-858-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX EMERGENT AND CRITICAL CARE SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "LACAZE",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "888-822-2855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812692",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D Peck, DDS
• Kristin Marie Peckman, MS, EIS
• Samantha Marie Pecson, COTA
• Pedi Spot Home, LLC
• Pedi Spot, LLC
• Pediatrix Medical Group
• Pediatrix Medical Group of Louisiana, L.L.C.
• Lynna Pedroza
• Loretta Ann Pelfrey, LVN
• Danna Pelland

• Pediatric Emergency Medicine (Emergency Medicine) Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Pediatric Emergency Medicine (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.