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RIVIERA PEDIATRICS LLC NPI 1912029257


NPI Information

NPI: 1912029257
Provider Name: RIVIERA PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4115 OFFICE PLAZA BLVD
INDIANAPOLIS, IN
ZIP 46254
Phone: (317) 297-3507
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RIVIERA PEDIATRICS LLC is a pediatrics in Indianapolis, IN. 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. RIVIERA PEDIATRICS LLC NPI is 1912029257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4115 OFFICE PLAZA BLVD
INDIANAPOLIS, IN
ZIP 46254-408
Phone: (317) 297-3507
Fax: (317) 290-2557

The provider's authorized official is Donald K Leedy .
The authorized official title is DR OWNEROwner and has the following contact phone number (317) 297-3507.

The enumeration date for this NPI number is 4/6/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics01021195AINDIANAYes

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
1000000083791OTHERINDIANABLUE CROSS

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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