PCP Associates of Pasadena PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PCP ASSOCIATES OF PASADENA PA

Practice address

4102 Woodlawn Ave
Suite 150
Pasadena, TX 77504

Phone

(713) 943-8229

Fax

(713) 943-9608

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Deepak Pattanaik, MDNPI 1033292743

Title

President

Phone

(713) 943-8229

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Crenshaw Occupational Practice, PLLC

  • Occupational Medicine Clinic/Center
  • Pasadena, TX
  • NPI 1932769825
  NPPES parent name

Practitioners 9

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

• Deepak Pattanaik, MD

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1033292743
  Medicare reassignment Care Compare group NPD Authorized official
• Gene G Abraham, MD

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1427632405
  Medicare reassignment Care Compare group NPD
• Karlie Trosclair Breaux, PA-C

  • Medical Physician Assistant
  • Pasadena, TX
  • NPI 1033890611
  Medicare reassignment Care Compare group NPD
• Abraham S John, MD

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1184707887
  Medicare reassignment Care Compare group NPD
• Kent D Schnell, MD

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1083797799
  Medicare reassignment Care Compare group NPD
• Kyle Kettle, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1861092504
  Medicare reassignment NPD
• Kelly Brooke Padgett, AGNP-C

  • Adult Health Nurse Practitioner
  • Baytown, TX
  • NPI 1689133456
  Medicare reassignment NPD
• Anna Marie Ventura, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1831896802
  Medicare reassignment NPD
• Aisha Amin, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1689957482

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467673301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 WOODLAWN AVE",
            "address_2": "SUITE 150",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "713-943-8229",
            "fax_number": "713-943-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOODLAWN AVE",
            "address_2": "SUITE 150",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "713-943-8229",
            "fax_number": "713-943-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCP ASSOCIATES OF PASADENA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTANAIK",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-943-8229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0096CV",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patients Urgent Care Center LLC
• Savaira Patoli
• Deepak Pattanaik, MD
• Tina Faye Patterson, D.D.S
• Gardenia Garza Paul, LCSW
• PCP Pharmacy LLC
• Peak Performance Rehab & Wellness, LLC
• Peak Performance Spine & Sports Medicine
• Jordan Maris Peeler, OTR
• Asha Peeples, PMHNP-BC

• Family Medicine Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.