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BLUE RIDGE PEDIATRICS LLP NPI 1942389838


NPI Information

NPI: 1942389838
Provider Name: BLUE RIDGE PEDIATRICS LLP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D0240903

Address:
3124 BLUE RIDGE RD
SUITE 102
RALEIGH, NC
ZIP 27612
Phone: (919) 782-0021
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BLUE RIDGE PEDIATRICS LLP is a pediatrics in Raleigh, 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. BLUE RIDGE PEDIATRICS LLP NPI is 1942389838. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3124 BLUE RIDGE RD
SUITE 102
RALEIGH, NC
ZIP 27612
Phone: (919) 782-0021
Fax: (919) 571-0825

The provider's authorized official is Nicholas Joseph Davanzo .
The authorized official title is General Partner and has the following contact phone number (919) 782-0021.

The CLIA number assigned to this NPI record is 34D0240903 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/3/2006 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
1208000000XPediatricsYes

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.