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ANGELINA PEDIATRICS PLLC
NPI 1154425494
Pediatrics in Lufkin, TX

Active since September 08, 2006CLIA 45D0923731 · Certificate of Compliance
1222 ELLIS AVE, LUFKIN, TX 75904(936) 634-9233(936) 634-9353 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angelina Pediatrics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELINA PEDIATRICS PLLC (NPI 1154425494) is a healthcare organization registered as a pediatrics in Lufkin, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 1, 2028 and lists George S Fidone, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1154425494
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANGELINA PEDIATRICS PLLC
Location Address1222 ELLIS AVELufkin, TX 75904-3326
Mailing AddressPo Box 150638Lufkin, TX 75915 · (936) 634-9233 · Fax (936) 634-9353
Phone(936) 634-9233
Fax(936) 634-9353
Organization SubpartNo
Authorized OfficialGeorge S FidoneCo Owner · (936) 634-9233
Enumeration DateSeptember 8, 2006
Last NPPES UpdateOctober 14, 2016
✔ NPI 1154425494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
1222 ELLIS AVE, Lufkin, TX 75904
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Other Identifiers 1

Medicaid092130602TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0923731

Angelina Pediatrics · Lufkin, TX
Active · expires Apr 1, 2028
CLIA Number45D0923731
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorJeffrey L. Glass, MD
Laboratory Phone(936) 634-9233
Laboratory LocationAngelina Pediatrics1222 Ellis Avenue, Lufkin, TX 75904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA MARIE MALNAR MS, APRN, FNP-C
Nurse Practitioner (Family)
1222 ELLIS AVE
LUFKIN, TX 75904
Angelina County (936) 634-9233
JAIMEE GANDY VARNER APRN
Nurse Practitioner (Pediatrics)
1222 ELLIS AVE
LUFKIN, TX 75904
Angelina County (936) 634-9233
JEREMY BELSCHNER NP
Nurse Practitioner
1222 ELLIS AVE
LUFKIN, TX 75904
Angelina County (936) 634-9233
SHERIDAN ELIZABETH ADAIR FULLER FNP
Nurse Practitioner
1222 ELLIS AVE
LUFKIN, TX 75904
Angelina County (936) 634-2214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelina Pediatrics PLLC's NPI number?

The NPI number for Angelina Pediatrics PLLC is 1154425494. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Angelina Pediatrics PLLC located?

Angelina Pediatrics PLLC is located at 1222 Ellis Ave, Lufkin, TX 75904. The listed phone number is (936) 634-9233.

What is Angelina Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Angelina Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0923731) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angelina Pediatrics PLLC was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.