Redbird Pediatrics, Pllc
Pediatrics
Redbird Pediatrics, Pllc is a O Fallon, Illinois based Pediatric center with medical specialization in
General Pediatrics.
It is located at
793 Sunset Blvd, O Fallon, Illinois - 62269-1960. They can be contacted on phone at
618-668-2473.
NPI number (Unique professional ID) for Redbird Pediatrics, Pllc is
1124634449 which was assigned by NPPES on 22 Sep, 2020 and it was last updated on 02 Mar, 2021.
Redbird Pediatrics, Pllc 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:
Redbird Pediatrics, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Redbird Pediatrics, Pllc |
|---|
Business Address:
Redbird Pediatrics, Pllc 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 : | 793 Sunset Blvd
O Fallon, IL, 62269-1960
United States |
|---|
| Phone Number : | 618-668-2473 |
|---|
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 : | 1124634449 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 22 Sep, 2020 |
|---|
| Last Updated On : | 02 Mar, 2021 |
|---|
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 : | Kevin Ponciroli |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | PEDIATRICIAN |
|---|
| Phone Number : | 618-668-2473 |
|---|
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 Redbird Pediatrics, Pllc are as mentioned. Primary taxonomy code for Redbird Pediatrics, Pllc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Redbird Pediatrics, Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1598776411 | MEDICAID | IL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
914 RED SCARLET CT,
SHILOH, IL, 62221-8306
United States | SHILOH, IL | 618-972-7422 |
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 : | 793 Sunset Blvd
O Fallon, IL, 62269-1960
United States |
|---|
| Phone Number : | 618-668-2473 |
|---|
Business Location:
Patients can refer following map for directions to
Redbird Pediatrics, Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.