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PEDIATRIC POSSIBILITIES P.A. NPI 1366534026


NPI Information

NPI: 1366534026
Provider Name: PEDIATRIC POSSIBILITIES, P.A.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
7209 CREEDMOOR RD STE 101
RALEIGH, NC
ZIP 27613
Phone: (919) 844-1100
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PEDIATRIC POSSIBILITIES, P.A. is a specialist in Raleigh, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC POSSIBILITIES, P.A. NPI is 1366534026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7209 CREEDMOOR RD STE 101
RALEIGH, NC
ZIP 27613-695
Phone: (919) 844-1100
Fax: (919) 844-1102

The provider's authorized official is Dawn M Rohlik .
The authorized official title is Director and has the following contact phone number (919) 844-1100.

The enumeration date for this NPI number is 9/29/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17211799MEDICAIDNORTH CAROLINA
2017KAOTHERNORTH CAROLINABCBS PROVIDER GROUPNUMBER

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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