Rivergate Pediatrics Pc in Goodlettsville - Pediatrics

Rivergate Pediatrics Pc - NPI 1366438640

Rivergate Pediatrics Pc is a Pediatrics in Goodlettsville, Tennessee. Rivergate Pediatrics Pc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Rivergate Pediatrics Pc is 1366438640. The last update date is 2011-01-25.

Rivergate Pediatrics Pc's current location address is 807 Meadowlark Ln, Goodlettsville, Tennessee. You can contact this provider via phone number 6158596650 and fax number 6158511983. The mailing address for Rivergate Pediatrics Pc is 807 Meadowlark Ln, Goodlettsville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rivergate Pediatrics Pc
Address 807 Meadowlark Ln, Goodlettsville, Tennessee
Phone Number 6158596650
Fax Number 6158511983
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Eidson H Timothy
Credentials MD
Telephone Number 6158596650

NPI Number Detail

NPI Number 1366438640
Provider Enumeration Date 2005-09-22
Last Updated Date 2011-01-25

Provider Mailing Address Detail

Address 807 Meadowlark Ln
City Goodlettsville
State Tennessee (TN)
Post Code 370722307
Phone Number 6158596650
Fax Number 6158511983

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
3381850 TN --
2000315 BCBS OF TN

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FAQs about Rivergate Pediatrics Pc

What is the unique identifier code issued to Rivergate Pediatrics Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Rivergate Pediatrics Pc has been assigned the NPI (National Provider Identifier) 1366438640. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Rivergate Pediatrics Pc is physically located?

The Rivergate Pediatrics Pc is situated at the following address: 807 Meadowlark Ln, Goodlettsville, TN 370722307.

What is the area of specialization for Rivergate Pediatrics Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Rivergate Pediatrics Pc is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Rivergate Pediatrics Pc receive its 1366438640 assignment from the Centers for Medicare & Medicaid Services?

The Rivergate Pediatrics Pc was assigned its 1366438640 by the Centers for Medicare & Medicaid Services on 2005-09-22.

When was the information regarding Rivergate Pediatrics Pc most recently updated?

The details pertaining to the Rivergate Pediatrics Pc, including its address, specialty, and other relevant information, were last refreshed on 2011-01-25.

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