NPIMap

Organization Active NPI

Careville Pediatrics, PA

  • Pediatrics Physician
  • Beeville, TX
National Provider Identifier
1760879670
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P2492 Issued in TX
Legal business name
CAREVILLE PEDIATRICS, PA
Practice address
1003 N Saint Marys St
Beeville, TX 78102-3420
Phone
(361) 492-5252
NPI assigned
Apr 17, 2015
Last updated
Apr 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Dr. Ifeanyi Mbadugha, MDNPI 1336408293
Title
Medical Director
Phone
(361) 492-5252

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
Pediatrics Physician 208000000X P2492 TX Primary

Addresses

Primary practice location

1003 N Saint Marys St
Beeville, TX 78102-3420

Mailing address

1003 N Saint Marys St
Beeville, TX 78102-3420
Phone (361) 492-5252

National Provider Directory

National Provider Directory

Locations

1003 N Saint Marys St
Beeville, TX 78102
Phone (361) 492-5252

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1760879670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N SAINT MARYS ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781023420",
            "telephone_number": "361-492-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N SAINT MARYS ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781023420",
            "telephone_number": "361-492-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREVILLE PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "MBADUGHA",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "361-492-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P2492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.