Lara Pavageau, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

T0599 Issued in TX

Practice address

6200 W Parker Rd
Plano, TX 75093-8185

Phone

(972) 981-8000

NPI assigned

May 13, 2015

Last updated

Aug 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Magella Medical Associates Billing, Inc.

  dba Magella Medical Associates

  • Neonatal-Perinatal Medicine Physician
  • Round Rock, TX
  • NPI 1083631071
  NPD (past)
• Methodist Hospitals of Dallas

  dba Methodist Richardson Medical Center

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  NPD (past)
• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359

  Pediatrics

  NPD (past)
• Prime Healthcare Services Mesquite LLC

  • General Acute Care Hospital
  • Mesquite, TX
  • NPI 1790174860
  NPD (past)
• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  NPD (past)
• Texas Health Presbyterian Hospital Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1770514077
  NPD (past)

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1558749390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E SPRING CREEK PKWY.",
            "address_2": "STE. 110, #319",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938185",
            "telephone_number": "972-981-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N Galloway Ave",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751492433",
            "country_code": "US",
            "telephone_number": "214-320-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVAGEAU",
        "first_name": "LARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "T0599",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T0599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428205501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda B Paul, PA-C
• Jasmine Paul, PHARMD
• McCartney Paul, LPC
• Marisol B Pauling, CCC/SLP
• Lisa Paulsen, LCDC
• Pavan Pamadurthi M.D., P.a. (Safe Haven Psychiatry)
• Anna Pavlisova, LMFT-A
• Ethan Pavlovsky, DO
• Sarah N Payberah, M.D.
• Susan R Payberah, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.