PHOENIX PEDIATRICS LTD NPI 1871788513

NPI Information

  • NPI: 1871788513
  • Provider Name: PHOENIX PEDIATRICS LTD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 03D0931229
  • Address: 4434 N 12TH ST
    PHOENIX, AZ
    ZIP 85014
  • Phone: (602) 242-5121

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NPI Details

PHOENIX PEDIATRICS LTD is a pediatrics in Phoenix, AZ. 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. PHOENIX PEDIATRICS LTD NPI is 1871788513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4434 N 12TH ST
PHOENIX, AZ
ZIP 85014-507
Phone: (602) 242-5121

The provider's authorized official is Nancie Odonnell .
The authorized official title is Billing And Coding Coordiator and has the following contact phone number (602) 242-5121.

The CLIA number assigned to this NPI record is 03D0931229 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 7/21/2022.

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
1208000000XPediatricsARIZONAYes

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: 11/21/2025

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