ANGELINA PEDIATRICS PLLC
NPI 1154425494
Pediatrics in Lufkin, TX
NPI Status: Active since September 08, 2006
Contact Information
1222 ELLIS AVE
LUFKIN, TX
ZIP 75904
Phone: (936) 634-9233
Fax: (936) 634-9353
- Organization
- Pediatrics
- CLIA Number: 45D0483936
- CLIA Cert. Type: Other
- CLIA Exp. Date: 03-02-2026
About ANGELINA PEDIATRICS PLLC
This page provides the complete NPI Profile along with additional information for Angelina Pediatrics Pllc, a pediatrician established in Lufkin, Texas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1154425494 assigned on September 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. George S Fidone Md (Co Owner)
- NPI
- 1154425494
- Provider Name
- ANGELINA PEDIATRICS PLLC
- Entity Type
- Organization
- Location Address
- 1222 ELLIS AVE LUFKIN, TX 75904
- Location Phone
- (936) 634-9233
- Location Fax
- (936) 634-9353
- Mailing Address
- PO BOX 150638 LUFKIN, TX 75915
- Mailing Phone
- (936) 634-9233
- Mailing Fax
- (936) 634-9353
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2006
- Last Update Date
- 10-14-2016
- Code Navigator
A pediatrician like Angelina Pediatrics Pllc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 092130602 | MEDICAID (05) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0483936
- Facility Type
- Other
- Certificate Effective Date
- March 03, 2024
- Certificate Expiration Date
- March 02, 2026
- Laboratory Director
- KINDRELL TUCKER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Angelina Pediatrics Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 4 | 2 | 5 | 4 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 8 | 2 | 10 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 8 + 2 + 1 + 0 + 4 + 1 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1154425494 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588012645 | KARI LYNN HUNT RN, MSN FNP-C Individual | Nurse Practitioner | 1222 ELLIS AVE LUFKIN, TX 75904 (936) 634-5170 |
| 1689094351 | JAIMEE GANDY VARNER APRN Individual | Nurse Practitioner (Pediatrics) | 1222 ELLIS AVE LUFKIN, TX 75904 (936) 634-9233 |
| 1881347078 | SHERIDAN ELIZABETH ADAIR FULLER FNP Individual | Nurse Practitioner | 1222 ELLIS AVE LUFKIN, TX 75904 (936) 634-2214 |
| 1497360176 | KRISTINA MARIE MALNAR MS, APRN, FNP-C Individual | Nurse Practitioner (Family) | 1222 ELLIS AVE LUFKIN, TX 75904 (936) 634-9233 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154425494, enumerated in the NPI registry as an "organization" on September 08, 2006
The provider is located at 1222 Ellis Ave Lufkin, Tx 75904 and the phone number is (936) 634-9233
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D0483936 for a "other" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on September 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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