Provider Type Icon

CHILDRENS CRITICAL CARE ASSOCIATES P.C. NPI 1629040449


NPI Information

NPI: 1629040449
Provider Name: CHILDRENS CRITICAL CARE ASSOCIATES, P.C.
Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
1919 E THOMAS RD
SUITE 1891
PHOENIX, AZ
ZIP 85016
Phone: (605) 546-1784
Get Directions

CHILDRENS CRITICAL CARE ASSOCIATES, P.C. is a pediatric critical care medicine pediatrics in Phoenix, AZ. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. CHILDRENS CRITICAL CARE ASSOCIATES, P.C. NPI is 1629040449. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1919 E THOMAS RD
SUITE 1891
PHOENIX, AZ
ZIP 85016-710
Phone: (605) 546-1784
Fax: (602) 546-1785

The provider's authorized official is Robert H Graham .
The authorized official title is President and has the following contact phone number (602) 546-1784.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 6/12/2008.


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
12080P0203XPediatricsPediatric Critical Care MedicineYes

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
1841082MEDICAIDARIZONA
2Z80494MEDICARE PINARIZONA

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

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.