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HORIZON PEDIATRICS INC. NPI 1700930807


NPI Information

NPI: 1700930807
Provider Name: HORIZON PEDIATRICS INC.
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

CLIA Number: 22D0979660

Address:
81 HAWTHORN ST
REAR
NEW BEDFORD, MA
ZIP 02740
Phone: (508) 961-2403
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HORIZON PEDIATRICS INC. is a pediatric cardiology pediatrics in New Bedford, MA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. HORIZON PEDIATRICS INC. NPI is 1700930807. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

81 HAWTHORN ST
REAR
NEW BEDFORD, MA
ZIP 02740-429
Phone: (508) 961-2403
Fax: (508) 984-0433

The provider's authorized official is Brian F Groden .
The authorized official title is Owner and has the following contact phone number (508) 961-2403.

The CLIA number assigned to this NPI record is 22D0979660 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0202XPediatricsPediatric Cardiology71961MASSACHUSETTSYes
22080P0206XPediatricsPediatric Gastroenterology71961MASSACHUSETTSX

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
13074013MEDICAIDMASSACHUSETTS

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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