Childrens Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

P0027 Issued in TX

Legal business name

CHILDRENS PLASTIC SURGERY PLLC

Practice address

929 Gessner Rd Ste 2250
Houston, TX 77024-2664

Phone

(713) 431-8866

Fax

(713) 461-0066

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Phileemon Eric Payne, MDNPI 1548449952

Title

Craniofacial Surgeon

Phone

(713) 461-8866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phileemon Eric Payne, M.D.

  • Plastic Surgery Physician
  • Houston, TX
  • NPI 1548449952
  Medicare reassignment NPD Authorized official
• Jack B Stephenson IV, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Tyler, TX
  • NPI 1972624542
  Medicare reassignment NPD
• Thomas Kevin Cook, MD

  • Plastic and Reconstructive Surgery Physician
  • Midland, TX
  • NPI 1659582948
  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1982977872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD STE 2250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242664",
            "telephone_number": "713-461-8866",
            "fax_number": "713-461-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD STE 2250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242664",
            "telephone_number": "713-431-8866",
            "fax_number": "713-461-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "PHILEEMON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CRANIOFACIAL SURGEON",
        "authorized_official_telephone_number": "713-461-8866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "P0027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Specialty Care Clinic of NW Houston, PA
• Childrens Critical Care of San Antonio PA
• Childrens Dentistry & Orthodontics Pasadena TX PLLC
• Childrens Lifeline Urgent Care Inc
• Childrens Palace Care Services
• Childrens Specialty Care Clinic
• Childrens Specialty Care Clinic
• Anthony Jerome Childress, LPC
• Scherri Diane Childress, PTA
• Tiffany Childress

• Plastic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.