Pediatric Offices at Willow Bend

Primary specialty

SpecialistTaxonomy code 174400000X

License

G8509 Issued in TX

Legal business name

PEDIATRIC OFFICES AT WILLOW BEND

Practice address

6529 W Plano Pkwy
Suite B
Plano, TX 75093-8209

Phone

(972) 781-1414

Fax

(972) 781-1717

NPI assigned

Jun 9, 2008

Last updated

Jun 9, 2008By 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

Kari Starr

Title

Billing

Phone

(972) 781-1414

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Las Colinas Pediatric Association2 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.

• Las Colinas Pediatric Association

  • Primary Care Clinic/Center
  • Irving, TX
  • NPI 1730366691
  NPD tax ID

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.

• Sharon L Wiener, MD

  • Pediatrics Physician
  • Irving, TX
  • NPI 1972535383
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1700045200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 W PLANO PKWY",
            "address_2": "SUITE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938209",
            "telephone_number": "972-781-1414",
            "fax_number": "972-781-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 W PLANO PKWY",
            "address_2": "SUITE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938209",
            "telephone_number": "972-781-1414",
            "fax_number": "972-781-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OFFICES AT WILLOW BEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "972-781-1414"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G8509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "8G1040",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Emergency Medicine Group LLP
• Pediatric Endocrinology of North Texas, PLLC
• Pediatric Hospital Physicians of North Texas, PA
• Pediatric Imaging Associates LLC (Children's Health Imaging Center)
• Pediatric Neuropsychological Services, PLLC
• Pediatric Offices at Willow Bend Association
• Pediatric Ophthalmology PA
• Pediatric Ophthalmology Partners of Texas PLLC (Pediatric Ophthalmology Partners of Texas)
• Pediatric Sleep Institute
• Pediatric Specialists of Plano

• Specialist in Plano, TX
• Providers in Plano, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.