Great Destinations Pediatrics
Pediatrics
Great Destinations Pediatrics is a Peoria, Arizona based Pediatric center with medical specialization in
General Pediatrics.
It is located at
7757 W Deer Valley Rd, Suite 275, Peoria, Arizona - 85382-2118. They can be contacted on phone at
623-878-2800 and fax number 623-878-9150.
NPI number (Unique professional ID) for Great Destinations Pediatrics is
1235274051 which was assigned by NPPES on 20 Feb, 2007 and it was last updated on 09 Mar, 2015.
Great Destinations Pediatrics 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:
Great Destinations Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Great Destinations Pediatrics |
|---|
Business Address:
Great Destinations Pediatrics 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 : | 7757 W Deer Valley Rd, Suite 275
Peoria, AZ, 85382-2118
United States |
|---|
| Phone Number : | 623-878-2800 |
|---|
| Fax Number : | 623-878-9150 |
|---|
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 : | 1235274051 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 20 Feb, 2007 |
|---|
| Last Updated On : | 09 Mar, 2015 |
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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 : | Karenkathleen Prentice |
|---|
| Authorized Official Credential : | DO |
|---|
| Official Title or Position : | PRESIDENT |
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| Phone Number : | 623-878-2800 |
|---|
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 Great Destinations Pediatrics are as mentioned. Primary taxonomy code for Great Destinations Pediatrics is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Great Destinations Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 345133 | MEDICAID | AZ | |
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 : | 7757 W Deer Valley Rd, Suite 275
Peoria, AZ, 85382-2118
United States |
|---|
| Phone Number : | 623-878-2800 |
|---|
| Fax Number : | 623-878-9150 |
|---|
Business Location:
Patients can refer following map for directions to
Great Destinations Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.