PROVIDENCE PEDIATRICS, PC – NPI #1265575955
Pediatrics

A pediatrician 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.

Health Care Provider Taxonomy Code for Pediatrics

PROVIDENCE PEDIATRICS, PC is a provider located in WILLIAMSPORT, PA. NPPES has assigned the NPI number 1265575955 to PROVIDENCE PEDIATRICS, PC on February 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PROVIDENCE PEDIATRICS, PC is also known by the name PROVIDENCE PEDIATRICS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Jan 11, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE PEDIATRICS, PC below.

NPI Profile for
PROVIDENCE PEDIATRICS, PC

NPI Number
1265575955
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE PEDIATRICS, PC
Other Name: PROVIDENCE PEDIATRICS
Primary location
338 RUSSELL AVENUE
WILLIAMSPORT, PA 17701
Phone: (570) 326-5720 Fax: (570) 601-1522
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH DEMAY
PRESIDENT
Phone: (570) 326-5720
Updated
Identifiers

Identifiers for PROVIDENCE PEDIATRICS, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA0012712310004
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)		 PA MD046306-L
2080A0000X
- Pediatrics / Adolescent Medicine		 PA MD046306L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.