Organization Active NPI

Sonia P Eapen MD, PA

  • Medical Specialty Clinic/Center
  • Pearland, TX
National Provider Identifier
1619338183
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
N6589 Issued in TX
Legal business name
SONIA P EAPEN MD, PA
Practice address
8619 Broadway St
Suite 202
Pearland, TX 77584-8782
Phone
(281) 485-7200
Fax
(281) 485-7202
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Dr. Sonia P Eapen, M.DNPI 1427242171
Title
Owner
Phone
(281) 485-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X N6589 TX Primary

Addresses

Primary practice location

8619 Broadway St
Suite 202
Pearland, TX 77584-8782

Mailing address

3231 Oak Cliff LN
Missouri City, TX 77459-4643
Phone (281) 485-7200

Other names 1

  • Texas Thyroid and Endocrine center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160421001269 TX Part B Supplier - Clinic/Group Practice 4183922362 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Locations

8619 Broadway St
Ste 202
Pearland, TX 77584
Phone (281) 412-0200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1619338183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 OAK CLIFF LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594643",
            "telephone_number": "281-485-7200",
            "fax_number": "281-485-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 BROADWAY ST",
            "address_2": "SUITE 202",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848782",
            "telephone_number": "281-485-7200",
            "fax_number": "281-485-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIA P EAPEN MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "EAPEN",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-485-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "N6589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Thyroid and Endocrine center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.