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GOOD NIGHT PEDIATRICS SOUTH MOUNTAIN PC NPI 1902888027


NPI Information

NPI: 1902888027
Provider Name: GOOD NIGHT PEDIATRICS SOUTH MOUNTAIN PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 03D1044330

Address:
325 E BASELINE RD
PHOENIX, AZ
ZIP 85042
Phone: (602) 824-4228
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GOOD NIGHT PEDIATRICS SOUTH MOUNTAIN PC is a pediatrics in Phoenix, AZ. 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. GOOD NIGHT PEDIATRICS SOUTH MOUNTAIN PC NPI is 1902888027. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 E BASELINE RD
PHOENIX, AZ
ZIP 85042-510
Phone: (602) 824-4228
Fax: (602) 824-4259

The provider's authorized official is Kathy Shick .
The authorized official title is Director Of Business Development and has the following contact phone number (623) 643-9233.

The CLIA number assigned to this NPI record is 03D1044330 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2005 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
1208000000XPediatricsARIZONAYes

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
1961004MEDICAIDARIZONA

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.