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IMAGINE PEDIATRICS OF NORTH CAROLINA PLLC NPI 1538922638


NPI Information

NPI: 1538922638
Provider Name: IMAGINE PEDIATRICS OF NORTH CAROLINA, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
506 RAMSEUR ST STE 1
DURHAM, NC
ZIP 27701
Phone: (833) 208-7770
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IMAGINE PEDIATRICS OF NORTH CAROLINA, PLLC is a pediatrics in Durham, NC. 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. IMAGINE PEDIATRICS OF NORTH CAROLINA, PLLC NPI is 1538922638. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

506 RAMSEUR ST STE 1
DURHAM, NC
ZIP 27701-890
Phone: (833) 208-7770

The provider's authorized official is Kenneth Taylor Beery .
The authorized official title is Chief Admin. Officer (cao) and has the following contact phone number (504) 470-4140.

The enumeration date for this NPI number is 2/1/2024 and was last updated on 2/6/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerNo
2106H00000XMarriage & Family TherapistNo
3133V00000XDietitian, RegisteredNo
4183500000XPharmacistNo
5207R00000XInternal MedicineNo
6363L00000XNurse PractitionerNo
7363LA2100XNurse PractitionerAcute CareNo
8363LF0000XNurse PractitionerFamilyNo
9363LP0200XNurse PractitionerPediatricsNo
10363LP0222XNurse PractitionerPediatrics, Critical CareNo
11208000000XPediatricsYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.