Pediatric Critical Care Associates

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

Legal business name

PEDIATRIC CRITICAL CARE ASSOCIATES

Practice address

4900 Mueller Blvd
Austin, TX 78723-3079

Phone

(512) 324-0000

Fax

(512) 324-0721

NPI assigned

Aug 13, 2006

Last updated

Aug 22, 2011By 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. David Anglin, M.D.NPI 1467464099

Title

President

Phone

(512) 324-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Seton Oral & Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Austin, TX
  • NPI 1124598917

  7113951377

  Same PAC ID

Locations

Practitioners 7

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.

• Keith Kerr, M.D.

  • Pediatric Critical Care Medicine Physician
  • Austin, TX
  • NPI 1922010578
  Medicare reassignment NPD
• Kyle Lieppman, MD

  • Pediatric Critical Care Medicine Physician
  • Austin, TX
  • NPI 1073615977
  Medicare reassignment NPD
• Anne Weatherly Mahan, MD

  • Pediatrics Physician
  • Austin, TX
  • NPI 1790989366

  Pediatric Critical Care Medicine

  Medicare reassignment NPD
• Milton Meadows, M.D.

  • Pediatric Critical Care Medicine Physician
  • Austin, TX
  • NPI 1477849313
  Medicare reassignment NPD
• Preston Lavinghousez, M.D.

  • Pediatrics Physician
  • Palo Alto, CA
  • NPI 1104073550

  Pediatric Critical Care Medicine, TX

  Medicare reassignment NPD
• David Lee Anglin, M.D.

  • Pediatric Critical Care Medicine Physician
  • Austin, TX
  • NPI 1467464099
  NPD (past) Authorized official
• Renee Higgerson, M.D.

  • Pediatric Critical Care Medicine Physician
  • Austin, TX
  • NPI 1285747717
  NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1962414334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0000",
            "fax_number": "512-324-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0000",
            "fax_number": "512-324-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CRITICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-324-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173703301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dental Professionals, PLLC (Apex Dental Partners)
• Pediatric Home Healthcare, LLC
• Pediatric Partners of Austin, P.a.
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatric Surgical Subspecialists (Pediatric Neurosurgery Center of Central Texas)

• Pediatric Critical Care Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Critical Care Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.