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VALLEY PEDIATRIC ASSOCIATES LLC NPI 1891966214


NPI Information

NPI: 1891966214
Provider Name: VALLEY PEDIATRIC ASSOCIATES, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D0215609

Address:
9 PARK CENTER COURT
#150
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 902-7710
Get Directions

VALLEY PEDIATRIC ASSOCIATES, LLC is a pediatrics in Owings Mills, MD. 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. VALLEY PEDIATRIC ASSOCIATES, LLC NPI is 1891966214. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9 PARK CENTER COURT
#150
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 902-7710
Fax: (410) 902-4410

The provider's authorized official is Rona L. Stein .
The authorized official title is Md and has the following contact phone number (410) 902-7710.

The CLIA number assigned to this NPI record is 21D0215609 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 7/29/2014.


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
1208000000XPediatricsD0644893MARYLANDNo
2208000000XPediatricsD0637920MARYLANDNo
3208000000XPediatricsD0058921MARYLANDNo
4208000000XPediatricsD0064508MARYLANDNo
5208000000XPediatricsYes

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
122315OTHERMAMSI
2TM183OTHERAMERIGROUP
3LM17OTHERBCBS

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: 4/28/2024

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