Organization Active NPI

Antonieta a Gimotea MD PA

Doing business as Kids First Pediatrics

  • Pediatrics Physician
  • Mission, TX
National Provider Identifier
1841324340
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K4434 Issued in TX
Legal business name
ANTONIETA A GIMOTEA MD PA
Doing business as
Kids First Pediatrics
Practice address
1022 E Griffin Pkwy
Suite 105
Mission, TX 78572-2400
Phone
(956) 585-2822
Fax
(956) 585-2632
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Antonieta A Gimotea, MD
Title
President
Phone
(956) 585-2822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K4434 TX Primary

Addresses

Primary practice location

1022 E Griffin Pkwy
Suite 105
Mission, TX 78572-2400

Mailing address

1022 E Griffin Pkwy
Suite 105
Mission, TX 78572-2400
Phone (956) 585-2822

Other identifiers 1

IdentifierTypeStateIssuer
160806901MedicaidTX

Other names 1

  • KIDS FIRST PEDIATRICS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1020449Kids First Pediatrics1022 East Griffin Parkway Suite 105, Mission, TX 78572Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

Locations

1022 E Griffin Pkwy
Ste 105
Mission, TX 78572
Phone (956) 585-2822

Practitioners & affiliated clinicians

Practitioners 1

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1841324340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E GRIFFIN PKWY",
            "address_2": "SUITE 105",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722400",
            "telephone_number": "956-585-2822",
            "fax_number": "956-585-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E GRIFFIN PKWY",
            "address_2": "SUITE 105",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722400",
            "telephone_number": "956-585-2822",
            "fax_number": "956-585-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIETA A GIMOTEA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "GIMOTEA",
        "authorized_official_first_name": "ANTONIETA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-585-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K4434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160806901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS FIRST PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.