Organization Active NPI

Cleburne Pediatrics P.a.

  • Pediatrics Physician
  • Cleburne, TX
National Provider Identifier
1992861074
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J2324 Issued in TX
Legal business name
CLEBURNE PEDIATRICS P.A.
Practice address
215 Ridgeway Drive North
Cleburne, TX 76033
Phone
(817) 774-2560
Fax
(817) 774-2563
NPI assigned
Dec 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Dr. Ranbir K Sharma, MDNPI 1639235716
Title
President
Phone
(817) 774-2560

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 J2324 TX Primary

Addresses

Primary practice location

215 Ridgeway Drive North
Cleburne, TX 76033

Mailing address

215 Ridgeway Drive North
Cleburne, TX 76033
Phone (817) 774-2560

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
45D0958064Cleburne Pediatrics PA215 North Ridgeway Drive, Cleburne, TX 76033Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

215 N Ridgeway Dr
Cleburne, TX 76033
Phone (817) 774-2560

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": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1992861074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RIDGEWAY DRIVE NORTH",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-774-2560",
            "fax_number": "817-774-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RIDGEWAY DRIVE NORTH",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-774-2560",
            "fax_number": "817-774-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEBURNE PEDIATRICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RANBIR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-774-2560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J2324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.