Tsion Haileselassie, MD, PA, D.B.a Gainesville Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L5755 Issued in TX

Legal business name

TSION HAILESELASSIE, MD, PA, D.B.A GAINESVILLE PEDIATRICS

Doing business as

Gainesville Pediatrics

Practice address

426 N Grand Ave
Gainesville, TX 76240-4324

Phone

(940) 665-9915

Fax

(940) 665-9962

NPI assigned

Apr 16, 2007

Last updated

Jun 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tsion Elaine Haileselassie, M.D.

Title

Physician Owner

Phone

(940) 665-9915

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gainesville Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1881819712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404324",
            "telephone_number": "940-665-9915",
            "fax_number": "940-665-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404324",
            "telephone_number": "940-665-9915",
            "fax_number": "940-665-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSION HAILESELASSIE, MD, PA, D.B.A GAINESVILLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "HAILESELASSIE",
        "authorized_official_first_name": "TSION",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "940-665-9915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L5755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156051802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gainesville Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Total Wellness and Bariatrics, P.a.
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• Alan Roy Trammell Sr., P.T.
• Transport Care Services Corporation
• Joseph Adam Tritthardt
• Tso of Gainesville Inc
• University of Texas Medical Branch
• Kacye Michelle Vann, FNP-C
• Racheal Varghese
• Jaime Joel Vela, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.