NPIMap

Organization Active NPI

TCH Pediatric Associates, Inc

Doing business as TCPA Shadow Creek Ranch

  • Pediatrics Physician
  • Pearland, TX
National Provider Identifier
1861712804
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TCH PEDIATRIC ASSOCIATES, INC
Doing business as
TCPA Shadow Creek Ranch
Practice address
1901 Kirby St
Suite 109
Pearland, TX 77584-5704
Phone
(713) 512-8600
NPI assigned
Jun 1, 2010
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Miriam Compton
Title
Provider Relations Rep
Phone
(832) 824-6602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1901 Kirby St
Suite 109
Pearland, TX 77584-5704

Mailing address

8080 N Stadium Dr
Suite 200
Houston, TX 77054-1829

Other names 1

  • TCPA Shadow Creek Ranch 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
45D1097950Tcpa Shadow Creek Ranch1901 Kirby Drive #109, Pearland, TX 77584Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Texas Childrens Pediatric102 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1861712804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 N STADIUM DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 KIRBY ST",
            "address_2": "SUITE 109",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845704",
            "telephone_number": "713-512-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCH PEDIATRIC ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PROVIDER RELATIONS REP",
        "authorized_official_telephone_number": "832-824-6602"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCPA Shadow Creek Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.