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SUMNER PEDIATRICS PC NPI 1235246166


NPI Information

NPI: 1235246166
Provider Name: SUMNER PEDIATRICS PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D1051108

Address:
1515 ALLEN ST
SUITE B
SPRINGFIELD, MA
ZIP 01118
Phone: (413) 782-7646
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SUMNER PEDIATRICS PC is a pediatrics in Springfield, MA. The provider is 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. SUMNER PEDIATRICS PC NPI is 1235246166. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1515 ALLEN ST
SUITE B
SPRINGFIELD, MA
ZIP 01118-803
Phone: (413) 782-7646

The provider's authorized official is Christine A Sickle .
The authorized official title is Owner/physian and has the following contact phone number (413) 782-7646.

The CLIA number assigned to this NPI record is 22D1051108 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 3/13/2012.


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
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERMASSACHUSETTSTAX ID NUMBER

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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