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ARIZONA KIDS PEDIATRICS LTD NPI 1609311109

NPI Profile

NPI: 1609311109
Provider Name: ARIZONA KIDS PEDIATRICS LTD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 03D2123871

Address:
14961 W BELL RD
SUITE 100
SURPRISE, AZ
ZIP 85374
Get Directions

Phone: (602) 403-1613

ARIZONA KIDS PEDIATRICS LTD is a primary care cliniccenter in Surprise, AZ. ARIZONA KIDS PEDIATRICS LTD NPI is 1609311109. The provider is registered as an organization entity type.

The provider's business location address is:

14961 W BELL RD
SUITE 100
SURPRISE, AZ
ZIP 85374-200
Phone: (602) 403-1613

The provider's authorized official is Beth A. Hoff .
The authorized official title is Owner.pediatrician and has the following contact phone number (602) 403-1613.

The CLIA number assigned to this NPI record is 03D2123871 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2016 and was last updated on 1/11/2017.

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
1261QP2300XClinic/CenterPrimary Care4394ARIZONAYes

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
1112727MEDICAIDARIZONA

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: 7/3/2020

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