Ponderosa Pediatricss Plc
Pediatrics
Ponderosa Pediatricss Plc is a Prescott, Arizona based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2120 Centerpointe West Drive, Prescott, Arizona - 86301. They can be contacted on phone at
928-443-1111 and fax number 928-443-5554.
NPI number (Unique professional ID) for Ponderosa Pediatricss Plc is
1124243688 which was assigned by NPPES on 17 Apr, 2007 and it was last updated on 15 May, 2008.
Ponderosa Pediatricss Plc 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:
Ponderosa Pediatricss Plc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Ponderosa Pediatricss Plc |
|---|
Business Address:
Ponderosa Pediatricss Plc 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 : | 2120 Centerpointe West Drive
Prescott, AZ, 86301
United States |
|---|
| Phone Number : | 928-443-1111 |
|---|
| Fax Number : | 928-443-5554 |
|---|
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 : | 1124243688 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 17 Apr, 2007 |
|---|
| Last Updated On : | 15 May, 2008 |
|---|
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 : | Deann Harguess |
|---|
| Official Title or Position : | CREDENTIALING BILLING |
|---|
| Phone Number : | 928-443-1111 |
|---|
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 Ponderosa Pediatricss Plc are as mentioned. Primary taxonomy code for Ponderosa Pediatricss Plc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Ponderosa Pediatricss Plc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1144299090 | Other | AZ | INDIVIDUAL NPI |
| 1144299678 | Other | AZ | INDIVIDUAL NPI |
| 1912976879 | Other | AZ | INDIVIDUAL NPI |
| 1629047097 | Other | AZ | INDIVIDUAL NPI |
| 1881653558 | Other | AZ | INDIVIDUAL NPI |
| 1326169657 | Other | AZ | INDIVIDUAL NPI |
| 1336118926 | Other | AZ | INDIVIDUAL NPI |
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 : | 2120 Centerpointe West Drive
Prescott, AZ, 86301
United States |
|---|
| Phone Number : | 928-443-1111 |
|---|
| Fax Number : | 928-443-5554 |
|---|
Business Location:
Patients can refer following map for directions to
Ponderosa Pediatricss Plc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.