Northwoods Pediatric Center, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K-1481 Issued in TX

Legal business name

NORTHWOODS PEDIATRIC CENTER, PA

Practice address

25214 Borough Park Dr
Spring, TX 77380-3519

Phone

(281) 296-7770

Fax

(281) 296-9777

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Shahzad Islam Shah, M.DNPI 1760474134

Title

President

Phone

(281) 296-7770

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEEDAA

Practitioners 7

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

• Shahzad Islam Shah, MD

  • Pediatrics Physician
  • Spring, TX
  • NPI 1760474134
  NPD Authorized official
• Chinonyerem Pace

  • Pediatrics Physician
  • Humble, TX
  • NPI 1346668381
  NPD (past)
• Macy Pickett, FNP

  • Family Nurse Practitioner
  • Conroe, TX
  • NPI 1023666740
  NPD (past)
• Farah Amlani Poonawala, D.O.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1750736781
  NPD (past)
• Sarah Shah, PA-C

  • Medical Physician Assistant
  • Spring, TX
  • NPI 1538881131

  Pediatrics

  NPD (past)
• Nighat Sultana, MD

  • Pediatrics Physician
  • Spring, TX
  • NPI 1053303594
  NPD (past)
• Bindu Wagle

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1669710091
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1780799171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25214 BOROUGH PARK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803519",
            "telephone_number": "281-296-7770",
            "fax_number": "281-296-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25214 BOROUGH PARK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803519",
            "telephone_number": "281-296-7770",
            "fax_number": "281-296-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS PEDIATRIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_middle_name": "ISLAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-296-7770",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K-1481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924573 03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northside Spine Center, LLC
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• Northwest Anesthesia & Pain Services
• Northwest Houston Surgical PLLC
• Northwoods Surgical, PLLC
• Colby Norton
• Nedka Novakova, CNIM; R. EP T
• Novalife Biosciences LLC
• Dylan Noyes

• Pediatrics Physician in Spring, TX
• Providers in Spring, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.