Desiree Buehler Pendergrass in Jackson - Pediatrics
Desiree Buehler Pendergrass - NPI 1255425989
Desiree Buehler Pendergrass is a Pediatrics in Jackson, Mississippi. Desiree Buehler Pendergrass practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Desiree Buehler Pendergrass is 1255425989. The last update date is 2017-02-17.
Desiree Buehler Pendergrass's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018158982. The mailing address for Desiree Buehler Pendergrass is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Desiree Buehler Pendergrass |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6018158982 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255425989 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2017-02-17 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018158982 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | H4609 |
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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 |
|---|---|---|---|
| 5359595 | MS | -- | |
| 8907561 | TX | NM MEDICAID | |
| 8J1510 | TX | MEDICARE | |
| 132232307 | TX | TMHP | |
| 155349101 | TX | FIRSTCARE MEDICAID | |
| 8G6058 | TX | BC/BS | |
| 200101350A | TX | OK MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Desiree Buehler Pendergrass by the Centers for Medicare & Medicaid Services?
The Desiree Buehler Pendergrass has been assigned the NPI (National Provider Identifier) 1255425989 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Desiree Buehler Pendergrass's facilities are situated?
The facilities of Desiree Buehler Pendergrass are physically located at the following address: 2500 N State St, Jackson, MS, 392164500.
What is Desiree Buehler Pendergrass's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Desiree Buehler Pendergrass is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Desiree Buehler Pendergrass receive the assignment of its 1255425989 from the Centers for Medicare & Medicaid Services?
The Desiree Buehler Pendergrass was issued its 1255425989 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information regarding Desiree Buehler Pendergrass, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Desiree Buehler Pendergrass, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-02-17.