LAKE AREA PEDIATRICS – NPI #1285645911
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

LAKE AREA PEDIATRICS is a provider located in MONTGOMERY, TX. NPPES has assigned the NPI number 1285645911 to LAKE AREA PEDIATRICS on August 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Jan 06, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE AREA PEDIATRICS below.

NPI Profile for
LAKE AREA PEDIATRICS

NPI Number
1285645911
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE AREA PEDIATRICS
Primary location
18057 HWY 105 WEST
STE. 220
MONTGOMERY, TX 77356
Phone: (936) 582-5620 Fax: (936) 582-5621
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACK ROBINSON
OWNER
Phone: (936) 582-5620
Updated
Identifiers

Identifiers for LAKE AREA PEDIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERINDIVIDUAL NPITX1740276856
MEDICAIDTX158814702
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
TX L3800

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.