Organization Active NPI

Hometown Pediatrics, PA

  • Pediatrics Physician
  • The Woodlands, TX
National Provider Identifier
1467539841
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HOMETOWN PEDIATRICS, PA
Practice address
1595 Lake Front Cir
The Woodlands, TX 77380-3604
Phone
(281) 292-8980
Fax
(281) 292-8070
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Brandi Maywald, CPPM
Title
Practice Manager
Phone
(281) 292-8980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1595 Lake Front Cir
The Woodlands, TX 77380-3604

Mailing address

1595 Lake Front Cir
The Woodlands, TX 77380-3604
Phone (281) 292-8980

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1079707Hometown Pediatrics, PA1595 Lake Front Circle, The Woodlands, TX 77380Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory

Locations

1595 Lake Front Cir
The Woodlands, TX 77380
Phone (281) 292-8980

Practitioners & affiliated clinicians

Practitioners 8

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1467539841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 LAKE FRONT CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803604",
            "telephone_number": "281-292-8980",
            "fax_number": "281-292-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 LAKE FRONT CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803604",
            "telephone_number": "281-292-8980",
            "fax_number": "281-292-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "MAYWALD",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "281-292-8980",
        "authorized_official_credential": "CPPM"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.