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JDC PEDIATRICS NPI 1689637126


NPI Information

NPI: 1689637126
Provider Name: JDC PEDIATRICS

Former Legal Business Name: JONES, DALY, COLDREN ASSOCIATES

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 39D0871859

Address:
1824 GOOD HOPE ROAD
SUITE 201
ENOLA, PA
ZIP 17025
Phone: (717) 791-2680
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JDC PEDIATRICS is a pediatrics in Enola, 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. JDC PEDIATRICS NPI is 1689637126. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Jones, Daly, Coldren Associates.

The provider's business location address is:

1824 GOOD HOPE ROAD
SUITE 201
ENOLA, PA
ZIP 17025-233
Phone: (717) 791-2680
Fax: (717) 791-2686

The provider's authorized official is Janice L Mccurdy .
The authorized official title is Credentialing Coordinator and has the following contact phone number (717) 257-9900.

The CLIA number assigned to this NPI record is 39D0871859 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 3/16/2023.


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
1208000000XPediatricsYes

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
102412000OTHERPENNSYLVANIACAIC GROUP NUMBER
21496819OTHERPENNSYLVANIABS GROUP NUMBER
30006455330003MEDICAIDPENNSYLVANIA

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

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