PEDIATRICS TO PARENTS MEDICAL PC NPI 1912189085

NPI Information

NPI: 1912189085
Provider Name: PEDIATRICS TO PARENTS MEDICAL, PC

Doing Business As: PEDS TO PARENTS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1442 N BROAD ST
SUITE 7
TAZEWELL, TN
ZIP 37879
Phone: (423) 626-1931
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PEDIATRICS TO PARENTS MEDICAL, PC is a multi-specialty clinic center in Tazewell, TN. PEDIATRICS TO PARENTS MEDICAL, PC NPI is 1912189085. The provider is registered as an organization entity type.
The provider Is Doing Business As Peds To Parents.

The provider's business location address is:

1442 N BROAD ST
SUITE 7
TAZEWELL, TN
ZIP 37879-361
Phone: (423) 626-1931

The provider's authorized official is Ronald Jc Fejeran .
The authorized official title is President And Physician and has the following contact phone number (423) 626-1931.

The CLIA number assigned to this NPI record is 44D1076946 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/30/2007 and was last updated on 8/12/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	000999	TENNESSEE	Yes

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
1	33012101	MEDICARE PIN
2	F76545	MEDICARE UPIN
3	3303563	MEDICAID	TENNESSEE

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

NPI Synchronization or Removal

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