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LITTLE TURTLE PEDIATRICS P.C. NPI 1093916959


NPI Information

NPI: 1093916959
Provider Name: LITTLE TURTLE PEDIATRICS, P.C.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
3030 LAKE AVE
SUITE 10
FORT WAYNE, IN
ZIP 46805
Phone: (260) 422-2448
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LITTLE TURTLE PEDIATRICS, P.C. is an adolescent medicine pediatrics in Fort Wayne, IN. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. LITTLE TURTLE PEDIATRICS, P.C. NPI is 1093916959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3030 LAKE AVE
SUITE 10
FORT WAYNE, IN
ZIP 46805-428
Phone: (260) 422-2448

The provider's authorized official is Todd Allen Dillon .
The authorized official title is President and has the following contact phone number (260) 422-2448.

The enumeration date for this NPI number is 5/29/2007 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
12080A0000XPediatricsAdolescent MedicineYes

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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