NPIMap

Organization Active NPI

Memorial-Spring Branch Neonatology Consultants, P.a.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1710025010
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
H5596 Issued in TX
Legal business name
MEMORIAL-SPRING BRANCH NEONATOLOGY CONSULTANTS, P.A.
Practice address
14027 Memorial Dr # 252
Houston, TX 77079-6826
Phone
(281) 412-2494
Fax
(281) 412-2495
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Poovamma M Baduvamanda, M.D.
Title
Partner
Phone
(281) 412-2494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080N0001X
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080N0001X H5596 TX Primary

Addresses

Primary practice location

14027 Memorial Dr # 252
Houston, TX 77079-6826

Mailing address

PO Box 975190
Dallas, TX 75397-5190
Phone (281) 412-2494

National Provider Directory

National Provider Directory

Locations

14027 Memorial Dr
#252
Houston, TX 77079
Phone (281) 412-2494

Practitioners & affiliated clinicians

Practitioners 6

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1710025010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975190",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753975190",
            "telephone_number": "281-412-2494",
            "fax_number": "281-412-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14027 MEMORIAL DR # 252",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796826",
            "telephone_number": "281-412-2494",
            "fax_number": "281-412-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL-SPRING BRANCH NEONATOLOGY CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "BADUVAMANDA",
        "authorized_official_first_name": "POOVAMMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "281-412-2494",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "H5596",
            "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 Feb 7, 2011; 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.