KIMBERLY M PEZZONE MD NPI 1205835691

NPI Information

  • NPI: 1205835691
  • Provider Name: KIMBERLY M PEZZONE, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 400 MARKET PLACE DR
    OAKDALE, PA
    ZIP 15071
  • Phone: (724) 281-1931

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NPI Details

Kimberly M Pezzone, MD is a pediatrics in Oakdale, PA. 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. Kimberly M Pezzone, MD NPI is 1205835691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 MARKET PLACE DR
OAKDALE, PA
ZIP 15071-007
Phone: (724) 281-1931
Fax: (724) 218-1934

The enumeration date for this NPI number is 7/18/2005 and was last updated on 1/4/2022.

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
1208000000XPediatricsMD051032LPENNSYLVANIAYes

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
1018997300MEDICAIDFLORIDA
20014505000004MEDICAIDPENNSYLVANIA
3ME128166OTHERFLORIDAFLORIDA LICENSE

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: 11/21/2025

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