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CATAWBA PEDIATRIC ASSOCIATES P.A. NPI 1104804459


NPI Information

NPI: 1104804459
Provider Name: CATAWBA PEDIATRIC ASSOCIATES, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D0246742

Address:
240 18TH STREET CIR SE
HICKORY, NC
ZIP 28602
Phone: (828) 322-2550
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CATAWBA PEDIATRIC ASSOCIATES, P.A. is a pediatrics in Hickory, 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. CATAWBA PEDIATRIC ASSOCIATES, P.A. NPI is 1104804459. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

240 18TH STREET CIR SE
HICKORY, NC
ZIP 28602-361
Phone: (828) 322-2550
Fax: (828) 322-7748

The provider's authorized official is Robert R Dixon .
The authorized official title is Managing Partner and has the following contact phone number (828) 322-2550.

The CLIA number assigned to this NPI record is 34D0246742 - practitioner other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/6/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics40543NORTH CAROLINAYes

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
101172OTHERNORTH CAROLINABCBS
28901172MEDICAIDNORTH CAROLINA

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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