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CRANSTON PEDIATRICS LLC DBA PARK PEDIATRICS INC NPI 1669690418


NPI Information

NPI: 1669690418
Provider Name: CRANSTON PEDIATRICS LLC DBA PARK PEDIATRICS INC

Doing Business As: PARK PEDIATRICS, INC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
801 PARK AVE
CRANSTON, RI
ZIP 02910
Phone: (401) 274-6575
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CRANSTON PEDIATRICS LLC DBA PARK PEDIATRICS INC is a pediatrics in Cranston, RI. 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. CRANSTON PEDIATRICS LLC DBA PARK PEDIATRICS INC NPI is 1669690418. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Park Pediatrics, Inc.

The provider's business location address is:

801 PARK AVE
CRANSTON, RI
ZIP 02910-036
Phone: (401) 274-6575
Fax: (401) 273-2597

The provider's authorized official is Rick Manuel Quiles .
The authorized official title is President and has the following contact phone number (401) 274-6575.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 4/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD11641RHODE ISLANDYes

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
125-79403OTHERRHODE ISLANDUNITED HEALTH PLAN
29004316MEDICAIDRHODE ISLAND
331923-4OTHERRHODE ISLANDBLUE CROSS BLUE SHIELD
4412877OTHERRHODE ISLANDHEALTHMATE
5MD 11641OTHERRHODE ISLANDLICENSE NUMBER
6I42409MEDICARE UPINRHODE ISLAND
730943OTHERRHODE ISLANDNEIGHBORHOOD HEALTH PLAN
8412877OTHERRHODE ISLANDBLUE CHIP

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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