NPIMap

Organization Active NPI

Maryam Taghadosi MD PA Dba, Park Plaza Pediatrics

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1578988903
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J5128 Issued in TX
Legal business name
MARYAM TAGHADOSI MD PA DBA, PARK PLAZA PEDIATRICS
Practice address
1213 Hermann Dr Ste 770
Houston, TX 77004-7031
Phone
(713) 807-8921
Fax
(713) 529-6195
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Maryam Taghadosi
Title
President
Phone
(832) 545-7464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X J5128 TX Primary

Addresses

Primary practice location

1213 Hermann Dr Ste 770
Houston, TX 77004-7031

Mailing address

1213 Hermann Dr Ste 770
Houston, TX 77004-7031
Phone (713) 807-8921

National Provider Directory

National Provider Directory
Tax ID family
Maryam Taghadosi MD PA Dba Park Plaza Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1578988903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047031",
            "telephone_number": "713-807-8921",
            "fax_number": "713-529-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047031",
            "telephone_number": "713-807-8921",
            "fax_number": "713-529-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM TAGHADOSI MD PA DBA, PARK PLAZA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "TAGHADOSI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-545-7464"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J5128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.