Provider Type Icon

GROVE PARK PEDIATRICS NPI 1275788416


NPI Information

NPI: 1275788416
Provider Name: GROVE PARK PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
113 TRAIL ONE
BURLINGTON, NC
ZIP 27215
Phone: (336) 570-0354
Get Directions

GROVE PARK PEDIATRICS is a pediatrics in Burlington, 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. GROVE PARK PEDIATRICS NPI is 1275788416. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

113 TRAIL ONE
BURLINGTON, NC
ZIP 27215-531
Phone: (336) 570-0354
Fax: (336) 570-0356

The provider's authorized official is Margarita Goldar .
The authorized official title is Owner and has the following contact phone number (336) 570-0354.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.


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
1208000000XPediatrics2004-00119NORTH 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
132823MEDICARE PINFLORIDA
2H33493MEDICARE UPINFLORIDA
389137W6MEDICAIDNORTH 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

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.