Waco Pediatric Health Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D1333 Issued in TX

Legal business name

WACO PEDIATRIC HEALTH ASSOCIATES

Practice address

3115 Pine Ave
1006
Waco, TX 76708-3247

Phone

(254) 756-6836

Fax

(254) 756-6865

NPI assigned

Oct 26, 2006

Last updated

Aug 1, 2007By 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. Harvey Spark, MD

Title

Owner Pres

Phone

(254) 756-6836

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• William R Nesmith, MD

  • Pediatrics Physician
  • Waco, TX
  • NPI 1962485516
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1891870242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 PINE AVE",
            "address_2": "1006",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083247",
            "telephone_number": "254-756-6836",
            "fax_number": "254-756-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 PINE AVE",
            "address_2": "1006",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083247",
            "telephone_number": "254-756-6836",
            "fax_number": "254-756-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO PEDIATRIC HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "SPARK",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "254-756-6836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waco Optical Inc
• Waco Orthopedic Clinic
• Waco Otolaryngology Associates (Waco Ear, Nose & Throat)
• Waco Partnership for Psychological and Spritual Care
• Waco Pathology Associates, P.a.
• Waco PM&R Group, PA
• Waco Primary Care, P.a.
• Waco Prosthetics, Inc. (Innovative Prosthetics)
• Waco Psychological Associates
• Waco Radiology PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.