Active NPI
Hometown Pediatrics, PA
- Pediatrics Physician
- The Woodlands, TX
National Provider Identifier
1467539841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1079707 | Hometown Pediatrics, PA | Certificate of waiver | Feb 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- The Woodlands, TX
- NPI 1417182569
-
- Pediatrics Physician
- The Woodlands, TX
- NPI 1861953762
-
- Pediatrics Physician
- The Woodlands, TX
- NPI 1689975641
-
- Pediatrics Physician
- The Woodlands, TX
- NPI 1487674511
-
- Surgery Physician
- The Woodlands, TX
- NPI 1922381839
-
- Pediatrics Physician
- The Woodlands, TX
- NPI 1326319880
-
- Pediatrics Physician
- The Woodlands, TX
- NPI 1366462400
-
- Pediatrics Physician
- The Woodlands, TX
- NPI 1619994704
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.