Community Pediatrics Sc
Pediatrics
Community Pediatrics Sc is a Beaver Dam, Wisconsin based Pediatric center with medical specialization in
General Pediatrics.
It is located at
109 Warren St Ste 4, Beaver Dam, Wisconsin - 53916-3082. They can be contacted on phone at
920-885-3305 and fax number 920-885-5506.
NPI number (Unique professional ID) for Community Pediatrics Sc is
1275749566 which was assigned by NPPES on 15 May, 2007 and it was last updated on 08 Apr, 2010.
Community Pediatrics Sc is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Community Pediatrics Sc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Community Pediatrics Sc |
|---|
Business Address:
Community Pediatrics Sc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 109 Warren St Ste 4
Beaver Dam, WI, 53916-3082
United States |
|---|
| Phone Number : | 920-885-3305 |
|---|
| Fax Number : | 920-885-5506 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1275749566 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 May, 2007 |
|---|
| Last Updated On : | 08 Apr, 2010 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Dorothyjean Larson |
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| Official Title or Position : | ACCOUNT MANAGER |
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| Phone Number : | 920-885-3305 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Community Pediatrics Sc are as mentioned. Primary taxonomy code for Community Pediatrics Sc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363LP0200X | Nurse Practitioner Pediatrics | No | | |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Community Pediatrics Sc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 34638800 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 109 Warren St Ste 4
Beaver Dam, WI, 53916-3082
United States |
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| Phone Number : | 920-885-3305 |
|---|
| Fax Number : | 920-885-5506 |
|---|
Business Location:
Patients can refer following map for directions to
Community Pediatrics Sc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.