Organization Active NPI

Vip Pediatrics, P.a.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1952439283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K3536 Issued in TX
Legal business name
VIP PEDIATRICS, P.A.
Practice address
2727 Gramercy St
Suite #225
Houston, TX 77025-1617
Phone
(713) 665-4567
Fax
(713) 665-8962
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeoffrey K. Wolens, MDNPI 1699777110
Title
Owner
Phone
(713) 665-4567

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 K3536 TX Primary

Addresses

Primary practice location

2727 Gramercy St
Suite #225
Houston, TX 77025-1617

Mailing address

2727 Gramercy St
Suite #225
Houston, TX 77025-1617
Phone (713) 665-4567

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
45D1050162Vip Pediatrics PA2727 Gramercy St , Ste 225, Houston, TX 77025Certificate of waiverJan 25, 2028

National Provider Directory

National Provider Directory

Locations

2727 Gramercy St
Ste 225
Houston, TX 77025
Phone (713) 665-4567

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952439283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 GRAMERCY ST",
            "address_2": "SUITE #225",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251617",
            "telephone_number": "713-665-4567",
            "fax_number": "713-665-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 GRAMERCY ST",
            "address_2": "SUITE #225",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251617",
            "telephone_number": "713-665-4567",
            "fax_number": "713-665-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLENS",
        "authorized_official_first_name": "JEOFFREY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-665-4567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K3536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.