University Pediatric Association

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

UNIVERSITY PEDIATRIC ASSOCIATION

Practice address

1602 Rock Prairie Rd
Suite 340
College Station, TX 77845-8306

Phone

(979) 696-4440

Fax

(979) 696-6730

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Cynthia Edwards

Title

Office Manager

Phone

(979) 696-4440

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 7

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

• Margaret Anderson-Brown, MD

  • Pediatrics Physician
  • College Station, TX
  • NPI 1346280930
  NPD (past)
• Kyle Henderson, MD

  • Pediatrics Physician
  • College Station, TX
  • NPI 1295776821
  NPD (past)
• Kenneth E Matthews, MD

  • Pediatrics Physician
  • College Station, TX
  • NPI 1013957612
  NPD (past)
• Jesse W Parr, MD

  • Pediatrics Physician
  • College Station, TX
  • NPI 1487601076
  NPD (past)
• Scott T Schams, MD

  • Pediatrics Physician
  • College Station, TX
  • NPI 1104867787
  NPD (past)
• Kelly Ingrid Sullivan, MD

  • Pediatrics Physician
  • College Station, TX
  • NPI 1043492291
  NPD (past)
• Terri L Tomlin, MD

  • Pediatrics Physician
  • College Station, TX
  • NPI 1447207196
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1447207121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778053068",
            "telephone_number": "979-696-4440",
            "fax_number": "979-696-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "SUITE 340",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-696-4440",
            "fax_number": "979-696-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PEDIATRIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-696-4440"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121478501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Tyler, M.D.
• Jeffrey Lee Tyler, PA-C
• Katharine Tyson
• Chaiss Matthews Ugarte, MD
• Umd Health PLLC
• University Pediatric Childrens Foundation
• University Radiology Services, PA
• Urban Optics, PLLC
• Usv Optical Inc.
• Tamisha Lynette Utermark, PH.D.

• Pediatrics Physician in College Station, TX
• Providers in College Station, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.