Premium Pediatrics Pllc in Campbellsville - Pediatrics
Premium Pediatrics Pllc - NPI 1174699359
Premium Pediatrics Pllc is a Pediatrics in Campbellsville, Kentucky. Premium Pediatrics Pllc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Premium Pediatrics Pllc is 1174699359. The last update date is 2008-08-11.
Premium Pediatrics Pllc's current location address is 307 E Broadway St, Campbellsville, Kentucky. You can contact this provider via phone number 2707894788 and fax number 2705724227. The mailing address for Premium Pediatrics Pllc is 307 E Broadway St, Campbellsville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premium Pediatrics Pllc |
|---|---|
| Address | 307 E Broadway St, Campbellsville, Kentucky |
| Phone Number | 2707894788 |
| Fax Number | 2705724227 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Bodeanu G. Dan |
| Credentials | MD |
| Telephone Number | 2707894788 |
NPI Number Detail
| NPI Number | 1174699359 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2008-08-11 |
Provider Mailing Address Detail
| Address | 307 E Broadway St |
|---|---|
| City | Campbellsville |
| State | Kentucky (KY) |
| Post Code | 427182003 |
| Phone Number | 2707894788 |
| Fax Number | 2705724227 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64128457 | KY | -- | |
| 50013851 | KY | PASSPORT |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Premium Pediatrics Pllc by the Centers for Medicare & Medicaid Services?
The Premium Pediatrics Pllc has been assigned the NPI (National Provider Identifier) 1174699359 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Premium Pediatrics Pllc?
The Premium Pediatrics Pllc is physically situated at 307 E Broadway St, in the city of Campbellsville, state of KY, with the postal code 427182003.
What is the Premium Pediatrics Pllc's specialty and taxonomy code?
The Premium Pediatrics Pllc's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date was the 1174699359 assigned to Premium Pediatrics Pllc?
The Premium Pediatrics Pllc was issued its 1174699359 on 2006-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Premium Pediatrics Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Premium Pediatrics Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-11.
NPI Number: 1215930425
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