Siskiyou Pediatric Clinic, Llp in Grants Pass - Pediatrics
Siskiyou Pediatric Clinic, Llp - NPI 1700999521
Siskiyou Pediatric Clinic, Llp is a Pediatrics in Grants Pass, Oregon. Siskiyou Pediatric Clinic, Llp practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Siskiyou Pediatric Clinic, Llp is 1700999521. The last update date is 2020-08-22.
Siskiyou Pediatric Clinic, Llp's current location address is 700 Ramsey Ave Ste 204, Grants Pass, Oregon. You can contact this provider via phone number 5419555683 and fax number 5419550983. The mailing address for Siskiyou Pediatric Clinic, Llp is 700 Ramsey Ave Ste 204, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Siskiyou Pediatric Clinic, Llp |
|---|---|
| Address | 700 Ramsey Ave Ste 204, Grants Pass, Oregon |
| Phone Number | 5419555683 |
| Fax Number | 5419550983 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Crispen Ray Charles |
| Credentials | D.O. |
| Telephone Number | 5419555683 |
NPI Number Detail
| NPI Number | 1700999521 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 700 Ramsey Ave Ste 204 |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975275792 |
| Phone Number | 5419555683 |
| Fax Number | 5419550983 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | DO14538 |
|
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 |
|---|---|---|---|
| 1568446219 | OR | STEVEN MARSHAK, DO NPI | |
| 1639153380 | OK | DEBORAH AYOLI, CPNP NPI | |
| 1487638235 | OR | KELLEY BURNETT, DO NPI | |
| 299499 | OR | -- | |
| 1750365409 | OR | CHARLES CRISPEN NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Siskiyou Pediatric Clinic, Llp by the Centers for Medicare & Medicaid Services?
The Siskiyou Pediatric Clinic, Llp has been issued the NPI (National Provider Identifier) 1700999521. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Siskiyou Pediatric Clinic, Llp's facilities are geographically located?
The facilities of Siskiyou Pediatric Clinic, Llp are physically situated at the following location: 700 Ramsey Ave Ste 204, Grants Pass, OR, 975275792.
What is Siskiyou Pediatric Clinic, Llp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Siskiyou Pediatric Clinic, Llp's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700999521 to Siskiyou Pediatric Clinic, Llp?
The Siskiyou Pediatric Clinic, Llp received its 1700999521 assignment from the Centers for Medicare & Medicaid Services on 2006-08-16.
When was the information related to Siskiyou Pediatric Clinic, Llp most recently updated or refreshed?
The details pertaining to the Siskiyou Pediatric Clinic, Llp, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.