NPIMap

Organization Active NPI

Pid Associates, P.a.

  • Pediatric Infectious Diseases Physician
  • Carrollton, TX
National Provider Identifier
1902885809
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
Legal business name
PID ASSOCIATES, P.A.
Practice address
4014 Crestwood Dr
Carrollton, TX 75007-1645
Phone
(214) 855-8510
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Dr. Stuart Willilam Ehrett, M.D.NPI 1578542387
Title
President
Phone
(214) 855-8510

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
Pediatric Infectious Diseases PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0208X Primary

Addresses

Primary practice location

4014 Crestwood Dr
Carrollton, TX 75007-1645

Mailing address

4014 Crestwood Dr
Carrollton, TX 75007-1645
Phone (214) 340-3513

Other identifiers 3

IdentifierTypeStateIssuer
100755250AMedicaidOK
121888502MedicaidTX
00610KOtherTXBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1902885809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 CRESTWOOD DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071645",
            "telephone_number": "214-340-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 CRESTWOOD DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071645",
            "telephone_number": "214-855-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PID ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "EHRETT",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "WILLILAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-855-8510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100755250A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121888502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00610K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.