Organization Active NPI

Eldridge Pointe Pediatrics, PLLC

  • Pediatrics Physician
  • Sugar Land, TX
National Provider Identifier
1861850158
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L8861 Issued in TX
Legal business name
ELDRIDGE POINTE PEDIATRICS, PLLC
Practice address
126 Eldridge Rd
Suite D
Sugar Land, TX 77478
Phone
(832) 939-8956
Fax
(832) 930-4748
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Dr. Jamie Anhthao Ngo, M.D.NPI 1376699512
Title
Owner/ Pediatrician
Phone
(832) 274-5689

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X L8861 TX Primary

Addresses

Primary practice location

126 Eldridge Rd
Suite D
Sugar Land, TX 77478

Mailing address

126 Eldridge Rd
Suite D
Sugar Land, TX 77478
Phone (832) 939-8956

Other identifiers 1

IdentifierTypeStateIssuer
L8861OtherTXSTATE LICENSE

Other names 1

  • Eldridge Pointe 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
45D2104109Eldridge Pointe Pediatrics126 Eldridge Rd Unit D, Sugar Land, TX 77478Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

126 Eldridge Rd
Ste D
Sugar Land, TX 77478
Phone (329) 939-8956

Practitioners & affiliated clinicians

Practitioners 2

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": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1861850158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 ELDRIDGE RD",
            "address_2": "SUITE D",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "832-939-8956",
            "fax_number": "832-930-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ELDRIDGE RD",
            "address_2": "SUITE D",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "832-939-8956",
            "fax_number": "832-930-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDRIDGE POINTE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ANHTHAO",
        "authorized_official_title_or_position": "OWNER/ PEDIATRICIAN",
        "authorized_official_telephone_number": "832-274-5689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L8861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "L8861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldridge Pointe Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.