ENNIS PEDIATRIC AND ADOLESCENT HEALTH CARE CENTER, P.A.
NPI 1669608493
Clinic/Center - Primary Care in Ennis, TX

NPI Status: Active since June 08, 2009

Contact Information

2203 W LAMPASAS ST
SUITE 202
ENNIS, TX
ZIP 75119
Phone: (972) 875-8300

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 45D1106413
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-12-2025

About ENNIS PEDIATRIC AND ADOLESCENT HEALTH CARE CENTER, P.A.

This page provides the complete NPI Profile along with additional information for Ennis Pediatric And Adolescent Health Care Center, P.a., a primary care provider established in Ennis, Texas operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1669608493 assigned on June 2009. The practitioner's primary taxonomy code is 261QP2300X with license number N2343 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Katherine Elizabeth Brown Md (Sole Director)

NPI
1669608493
Provider Name
ENNIS PEDIATRIC AND ADOLESCENT HEALTH CARE CENTER, P.A.
Entity Type
Organization
Location Address
2203 W LAMPASAS ST SUITE 202 ENNIS, TX 75119
Location Phone
(972) 875-8300
Mailing Address
2203 W LAMPASAS ST SUITE 202 ENNIS, TX 75119
Mailing Phone
(972) 875-8300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2009
Last Update Date
09-15-2010
Code Navigator

A primary care provider (PCP) like Ennis Pediatric And Adolescent Health Care Center, P.a. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
N2343
License State
TX

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KATHERINE ELIZABETH BROWN MD

Authorized Official Title
SOLE DIRECTOR
Authorized Official Phone
(972) 875-8300

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
45D1106413
Facility Type
Physician Office
Certificate Effective Date
October 13, 2023
Certificate Expiration Date
October 12, 2025
Laboratory Director
KATHERINE E. BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ennis Pediatric And Adolescent Health Care Center, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ENNIS PEDIATRIC AND ADOLESCENT HEALTH CARE CENTER, P.A.

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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.
1669608493
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612912016418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 2 + 0 + 1 + 6 + 4 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1669608493 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316911233DR. BILL RAY LEE MD
Individual
Family Medicine2203 W LAMPASAS ST SUITE 211
ENNIS, TX 75119
(972) 875-3997
1295749190CRAIG YETTER, DO, P.A.
Organization
Family Medicine2203 W LAMPASAS ST SUITE 111
ENNIS, TX 75119
(972) 875-2424
1871759704MISS KATHERINE ELIZABETH BROWN M.D.
Individual
Pediatrics2203 W LAMPASAS ST STE 202
ENNIS, TX 75119
(972) 875-8300
1992932032TEXAS SPECIALTY PHYSICIANS
Organization
Family Medicine2203 W LAMPASAS ST SUITE 211
ENNIS, TX 75119
(972) 875-3997
1942538616TEXAS SPECIALTY PHYSICIANS
Organization
Surgery2203 W LAMPASAS ST SUITE 205
ENNIS, TX 75119
(785) 843-2010
1013227875N KOPMAN DO PA
Organization
Internal Medicine (Pulmonary Disease)2203 W LAMPASAS ST STE 111
ENNIS, TX 75119
(214) 331-8321
1417250960MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Organization
Surgery2203 W LAMPASAS ST SUITE 222
ENNIS, TX 75119
(903) 872-3005
1346564135JILL VAN HORN DO A PROFESSIONAL CORPORATION
Organization
Family Medicine2203 W LAMPASAS ST SUITE 211
ENNIS, TX 75119
(972) 875-3997
1164573150LAKEWOOD HILLS INTERNAL MEDICINE, LLC
Organization
Internal Medicine2203 W LAMPASAS ST STE 111
ENNIS, TX 75119
(972) 875-7770
1073660627DR. FELICIA LENORA LEWIS M.D.
Individual
Internal Medicine2203 W LAMPASAS ST STE 111
ENNIS, TX 75119
(972) 875-7770
1487811097 REBECCA L LUCAS DNP
Individual
Nurse Practitioner (Family)2203 W LAMPASAS ST
ENNIS, TX 75119
(972) 875-8833
1154596765DR. FREDRIC CLARK PUCKETT D.O.
Individual
Family Medicine2203 W LAMPASAS ST SUITE 205
ENNIS, TX 75119
(972) 875-6200
1760747802 JOEY R. FLORES FNPC
Individual
Nurse Practitioner (Family)2203 W LAMPASAS ST SUITE 101
ENNIS, TX 75119
(972) 875-7799
1710003926MRS. CHRISTY RACHEL YETTER I MPAS, PA-C
Individual
Physician Assistant2203 W LAMPASAS ST SUITE 205
ENNIS, TX 75119
(972) 875-6200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669608493, enumerated in the NPI registry as an "organization" on June 08, 2009

The provider is located at 2203 W Lampasas St Suite 202 Ennis, Tx 75119 and the phone number is (972) 875-8300

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 45D1106413 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 08, 2009. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.