Bayshore Area Pediatric Clinic, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K1505 Issued in TX

Legal business name

BAYSHORE AREA PEDIATRIC CLINIC, PA

Practice address

3325 Plainview St
Suite C-9
Pasadena, TX 77504-1989

Phone

(713) 830-2996

Fax

(713) 830-2998

NPI assigned

Apr 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Otto H Kieffer, MDNPI 1891700209

Title

Owner/President

Phone

(713) 830-2996

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Otto Hans Kieffer, MD

  • Pediatrics Physician
  • Pasadena, TX
  • NPI 1891700209
  NPD (past) Authorized official

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1487072047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 PLAINVIEW ST",
            "address_2": "SUITE C-9",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041989",
            "telephone_number": "713-830-2996",
            "fax_number": "713-830-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PLAINVIEW ST",
            "address_2": "SUITE C-9",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041989",
            "telephone_number": "713-830-2996",
            "fax_number": "713-830-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE AREA PEDIATRIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "KIEFFER",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "713-830-2996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092239503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Baylor College of Medicine Radiology Associates
• Baylor College of Medicine, Department of Orthopedic Surgery
• Bayshore Dermatology Clinic
• Bayshore Dermatology Clinic
• Bayshore Health Mart, Inc.
• Bayshore Optical Company
• Bayshore Pediatrics

• Pediatrics Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.