Laurie McKillip M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G9021 Issued in TX

Legal business name

LAURIE MCKILLIP M.D., P.A.

Practice address

1120 Medical Plaza Dr
Suite 250
Shenandoah, TX 77380-3242

Phone

(281) 296-8500

Fax

(281) 296-8594

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Laurie McKillip, MD

Title

Physician/Owner

Phone

(281) 296-8500

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1738/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Laurel L McKillip, M.D.

  • Pediatrics Physician
  • Conroe, TX
  • NPI 1578622551
  NPD (past)
• Thimos G Paschalis, M.D.

  • Internal Medicine Physician
  • Shenandoah, TX
  • NPI 1689733669
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1992952246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR",
            "address_2": "SUITE 250",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803242",
            "telephone_number": "281-296-8500",
            "fax_number": "281-296-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR",
            "address_2": "SUITE 250",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803242",
            "telephone_number": "281-296-8500",
            "fax_number": "281-296-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE MCKILLIP M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "MCKILLIP",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-296-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G9021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "G9021",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHEILD",
            "identifier": "8A0972",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "586248",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "03741",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "976050",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E79307",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Laraway, D.D.S.
• Lauren Ashleigh Laroche, MD
• Evelyn A Laryea
• Bharat Latthe, MD
• Vaibhav Latthe, BDS,MDS,CDT
• Sausan Lawal, D.O
• Taylor Le, DO
• Thu Nhi Thi Le, DO
• Crystal Nicole Leatch George, LCSW, RN
• Christine M. Lee, M.D.

• Pediatrics Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.