NPIMap

Organization Active NPI

Pediatric Acute Care Associates of North Texas, PLLC

  • Pediatric Critical Care Medicine Physician
  • Dallas, TX
National Provider Identifier
1346247889
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
82262603 Issued in TX
Legal business name
PEDIATRIC ACUTE CARE ASSOCIATES OF NORTH TEXAS, PLLC
Practice address
7777 Forest LN
Ste D569
Dallas, TX 75230-6894
Phone
(972) 566-8340
Fax
(972) 566-8338
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Michele C Papo, MD
Title
President
Phone
(972) 566-8340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0203X 82262603 TX Primary

Addresses

Primary practice location

7777 Forest LN
Ste D569
Dallas, TX 75230-6894

Mailing address

7777 Forest LN
D569
Dallas, TX 75230-2571
Phone (972) 566-8340

Other identifiers 4

IdentifierTypeStateIssuer
00370ROtherTXBCBS
142428504MedicaidTX
100755390AMedicaidOK
142428501MedicaidTX

National Provider Directory

National Provider Directory

Locations

4900 Airport Pkwy
Unit 2528
Addison, TX 75001

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1346247889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "D569",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-8340",
            "fax_number": "972-566-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "STE D569",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306894",
            "telephone_number": "972-566-8340",
            "fax_number": "972-566-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ACUTE CARE ASSOCIATES OF NORTH TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "PAPO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-566-8340",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "82262603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00370R",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142428504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100755390A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142428501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.