Pediatric Associates PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES PLLC

Practice address

111 Medical Dr
Palestine, TX 75801-4781

Phone

(903) 723-6092

Fax

(903) 723-5149

NPI assigned

Jul 13, 2010

Last updated

Jul 12, 2021By 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

Michael P Garcia, M.D.NPI 1710979885

Title

President

Phone

(903) 723-6092

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 3

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.

• Michael P Garcia, M.D.

  • Pediatrics Physician
  • Palestine, TX
  • NPI 1710979885
  NPD Authorized official
• Davida J Wardell, MD

  • Pediatrics Physician
  • Palestine, TX
  • NPI 1972529956
  NPD (past)
• Jennifer L Whitfield, NP-C

  • Family Nurse Practitioner
  • Palestine, TX
  • NPI 1437710134
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1568774917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014781",
            "telephone_number": "903-723-6092",
            "fax_number": "903-723-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014781",
            "telephone_number": "903-723-6092",
            "fax_number": "903-723-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-723-6092",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Pate, APRN
• Robert Joseph Pate, MD
• Patricia H. Luce MD PA
• Phillip Wade Paul, D.C.
• Megan Olevia Pearce, RBT
• Perfect Choice Homecare, Inc.
• Personal Home Healthcare Agency LLC (Angels Care Home Health)
• Megan Pettiette, M.S., CCC-SLP
• Supranee Phonsombat, MD
• Pineywoods Urology, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.