San Angelo Pediatric Associates, P.a.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

D9492 Issued in TX

Legal business name

SAN ANGELO PEDIATRIC ASSOCIATES, P.A.

Practice address

314 E Twohig Ave
San Angelo, TX 76903-5502

Phone

(325) 653-6944

Fax

(325) 658-6500

NPI assigned

Oct 17, 2006

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. James Waldo Herbert, M. D.NPI 1497738645

Title

Owner

Phone

(325) 653-6944

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• James Waldo Herbert, M. D.

  • Pediatric Adolescent Medicine Physician
  • San Angelo, TX
  • NPI 1497738645
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699855270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E TWOHIG AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035502",
            "telephone_number": "325-653-6944",
            "fax_number": "325-658-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E TWOHIG AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035502",
            "telephone_number": "325-653-6944",
            "fax_number": "325-658-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO PEDIATRIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-653-6944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "D9492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "00JT67",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Angelo Hospital, LP (San Angelo Community Medical Center Anticoagulation Clinic)
• San Angelo I Enterprises, LLC (Park Plaza Nursing and Rehabilitation Center)
• San Angelo II Enterprises, LLC (Cedar Manor Nursing and Rehabilitation Center)
• San Angelo Independent School District
• San Angelo Neurosurgical Association
• San Angelo Psychiatric Association, PLLC
• San Angelo Radiation Oncology, P.a.
• San Angelo SCC, LLC (Senior Care of San Angelo)
• San Angelo Security Service
• San Angelo Summit Orthopedics Inc (San Angelo Summit Orthopedics)

• Pediatric Adolescent Medicine Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Pediatric Adolescent Medicine Physician 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.