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PEDIATRICS AND ADOLESCENT MEDICINE P.C. NPI 1134259427


NPI Information

NPI: 1134259427
Provider Name: PEDIATRICS AND ADOLESCENT MEDICINE, P.C.
Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

CLIA Number: 16D0677628

Address:
2940 INGERSOLL AVENUE
DES MOINES, IA
ZIP 50312
Phone: (515) 244-1444
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PEDIATRICS AND ADOLESCENT MEDICINE, P.C. is a developmental - behavioral pediatrics pediatrics in Des Moines, IA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. PEDIATRICS AND ADOLESCENT MEDICINE, P.C. NPI is 1134259427. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2940 INGERSOLL AVENUE
DES MOINES, IA
ZIP 50312-015
Phone: (515) 244-1444

The provider's authorized official is Frederick C. Aldrich .
The authorized official title is President and has the following contact phone number (515) 244-1444.

The CLIA number assigned to this NPI record is 16D0677628 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics20027IOWAYes
21041C0700XSocial WorkerClinical00062IOWAX
3208000000XPediatrics20027IOWAX
42080A0000XPediatricsAdolescent Medicine20027IOWAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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