Pediatric Associates Of Southwest Missouri, Llc in Joplin - Adolescent Medicine
Pediatric Associates Of Southwest Missouri, Llc - NPI 1518083435
Pediatric Associates Of Southwest Missouri, Llc is a Adolescent Medicine in Joplin, Missouri. Pediatric Associates Of Southwest Missouri, Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pediatric Associates Of Southwest Missouri, Llc is 1518083435. The last update date is 2023-08-29.
Pediatric Associates Of Southwest Missouri, Llc's current location address is 2719 E 32nd St, Joplin, Missouri. You can contact this provider via phone number 4177825522 and fax number 4176225498. The mailing address for Pediatric Associates Of Southwest Missouri, Llc is 2719 E 32nd St, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Associates Of Southwest Missouri, Llc |
|---|---|
| Address | 2719 E 32nd St, Joplin, Missouri |
| Phone Number | 4177825522 |
| Fax Number | 4176225498 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Yarnall A Michelle |
| Telephone Number | 4177825522 |
NPI Number Detail
| NPI Number | 1518083435 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2023-08-29 |
Provider Mailing Address Detail
| Address | 2719 E 32nd St |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648043131 |
| Phone Number | 4177825522 |
| Fax Number | 4176225498 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500214705 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pediatric Associates Of Southwest Missouri, Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Associates Of Southwest Missouri, Llc has been assigned the NPI (National Provider Identifier) 1518083435 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Pediatric Associates Of Southwest Missouri, Llc is located?
The Pediatric Associates Of Southwest Missouri, Llc is situated at the following address: 2719 E 32Nd St, Joplin, MO, 648043131.
What is Pediatric Associates Of Southwest Missouri, Llc's area of expertise and its corresponding taxonomy classification?
The Pediatric Associates Of Southwest Missouri, Llc's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1518083435 assigned to Pediatric Associates Of Southwest Missouri, Llc?
The Pediatric Associates Of Southwest Missouri, Llc was issued its 1518083435 on 2007-03-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Pediatric Associates Of Southwest Missouri, Llc most recently updated or refreshed?
The details pertaining to the Pediatric Associates Of Southwest Missouri, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-29.
NPI Number: 1699778829
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