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LAKE AREA PEDIATRICS
NPI 1285645911
Pediatrics in Montgomery, TX

Active since August 10, 2006CLIA 45D1046808 · Waiver
18057 HWY 105 WEST, STE. 220, MONTGOMERY, TX 77356(936) 582-5620(936) 582-5621 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Area Pediatrics NPPES

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

LAKE AREA PEDIATRICS (NPI 1285645911) is a healthcare organization registered as a pediatrics in Montgomery, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Jack S Robinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1285645911
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLAKE AREA PEDIATRICS
Location Address18057 HWY 105 WEST, STE. 220Montgomery, TX 77356
Mailing Address18057 Hwy 105 West, Ste. 220Montgomery, TX 77356 · (936) 582-5620 · Fax (936) 582-5621
Phone(936) 582-5620
Fax(936) 582-5621
Organization SubpartNo
Authorized OfficialJack S RobinsonOwner · (936) 582-5620
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 6, 2011
✔ NPI 1285645911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L3800
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.
18057 HWY 105 WEST, Montgomery, TX 77356
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Other Identifiers 3

Medicare UPINA91455TX
Other1740276856TX · Individual Npi
Medicaid158814702TX

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 Waiver 45D1046808

Lake Area Pediatrics PA · Montgomery, TX
Active · expires Oct 18, 2027
CLIA Number45D1046808
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorMurray B. Fershtman
Laboratory Phone(936) 582-5620
Laboratory LocationLake Area Pediatrics PA18059 Hwy 105 W Suite 130, Montgomery, TX 77356
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lake Area Pediatrics's NPI number?

The NPI number for Lake Area Pediatrics is 1285645911. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Lake Area Pediatrics located?

Lake Area Pediatrics is located at 18057 Hwy 105 West Ste. 220, Montgomery, TX 77356. The listed phone number is (936) 582-5620.

What is Lake Area Pediatrics's specialty?

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

Does Lake Area Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1046808) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Area Pediatrics was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.