Pediatric After Hours Management, L.L.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PEDIATRIC AFTER HOURS MANAGEMENT, L.L.C.

Practice address

7212 Independence Pkwy
Plano, TX 75025-5701

Phone

(214) 577-6008

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell R. McDonald, M.D.NPI 1255333605

Title

Director

Phone

(972) 596-2131

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell R McDonald, M.D.

  • Pediatrics Physician
  • Plano, TX
  • NPI 1255333605
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538372230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935841",
            "telephone_number": "972-596-2131",
            "fax_number": "972-867-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 INDEPENDENCE PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255701",
            "telephone_number": "214-577-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AFTER HOURS MANAGEMENT, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-596-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255333605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Larsen Pease
• Iva Lim Peck, LAC.,DIPL.AC.,RN
• Michael A. Peck, D.D.S., M.S.
• Nichole Peck
• Richard Austin Peck, L. AC.
• Pediatric and Adolescent Medical Center
• Pediatric Associates of North Texas
• Pediatric Associates of Plano, PLLC (Pediatric Associates of PLano)
• Pediatric Dental Services (Sweet Smiles)
• Pediatric Emergency Medicine Group LLP

• Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.