Active NPI
Vip Pediatrics, P.a.
- Pediatrics Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K3536
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeoffrey K. Wolens, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1050162 | Vip Pediatrics PA | Certificate of waiver | Jan 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1699777110
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1730275777
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.