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SMA PEDIATRICS LLC NPI 1043391709


NPI Information

NPI: 1043391709
Provider Name: SMA PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
38 DEAK DR
SMYRNA, DE
ZIP 19977
Phone: (302) 653-6174
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SMA PEDIATRICS, LLC is a pediatrics in Smyrna, DE. 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. SMA PEDIATRICS, LLC NPI is 1043391709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

38 DEAK DR
SMYRNA, DE
ZIP 19977
Phone: (302) 653-6174
Fax: (302) 653-6029

The provider's authorized official is Ma Caridad Rosal .
The authorized official title is Partner and has the following contact phone number (302) 653-6174.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 6/18/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000038432OTHERMEDICAID DE
21000038432OTHERDPCI
3=========OTHERCIGNA
42675733000OTHERAMERIHEALTH HMO
52675733000OTHERAMERIHEALTH PPO
68141834OTHERALLIANCE
75304OTHERAETNA PPO
88141834OTHERMAMSI
9D73661MEDICARE UPIN
10=========OTHERCOVENTRY TAX ID
11=========OTHERUNITED HEALTHCARE
12467827OTHERAETNA HMO 19
13=========OTHERBCBS DE
140000185001MEDICAIDDELAWARE

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

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