Northlake Pediatric Care Pa in Statesville - Pediatrics
Northlake Pediatric Care Pa - NPI 1083729701
Northlake Pediatric Care Pa is a Pediatrics in Statesville, North Carolina. Northlake Pediatric Care Pa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Northlake Pediatric Care Pa is 1083729701. The last update date is 2013-05-30.
Northlake Pediatric Care Pa's current location address is 2117 Simonton Rd, Statesville, North Carolina. You can contact this provider via phone number 7048712323 and fax number 8036192149. The mailing address for Northlake Pediatric Care Pa is 2117 Simonton Rd, Statesville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northlake Pediatric Care Pa |
|---|---|
| Address | 2117 Simonton Rd, Statesville, North Carolina |
| Phone Number | 7048712323 |
| Fax Number | 8036192149 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Borja Michael |
| Credentials | MD |
| Telephone Number | 7048712323 |
NPI Number Detail
| NPI Number | 1083729701 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2013-05-30 |
Provider Mailing Address Detail
| Address | 2117 Simonton Rd |
|---|---|
| City | Statesville |
| State | North Carolina (NC) |
| Post Code | 286258206 |
| Phone Number | 7048712323 |
| Fax Number | 8036192149 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1002P | NC | BCBS OF NC | |
| 34D1014813 | CLIA ID | ||
| 5918872 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Northlake Pediatric Care Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Northlake Pediatric Care Pa has been assigned the NPI (National Provider Identifier) 1083729701. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Northlake Pediatric Care Pa?
The Northlake Pediatric Care Pa is physically situated at 2117 Simonton Rd, in the city of Statesville, state of NC, with the postal code 286258206.
What is the Northlake Pediatric Care Pa's specialty and taxonomy code?
The Northlake Pediatric Care Pa's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
When did the Northlake Pediatric Care Pa receive its 1083729701?
The Northlake Pediatric Care Pa was issued its 1083729701 on 2006-08-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Northlake Pediatric Care Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Northlake Pediatric Care Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-05-30.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK