COMMUNITY PEDIATRICS SC – NPI #1275749566
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.

COMMUNITY PEDIATRICS SC is a provider located in BEAVER DAM, WI. NPPES has assigned the NPI number 1275749566 to COMMUNITY PEDIATRICS SC on May 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 16 years ago on Apr 08, 2010. 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 COMMUNITY PEDIATRICS SC below.

NPI Profile for
COMMUNITY PEDIATRICS SC

NPI Number
1275749566
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
COMMUNITY PEDIATRICS SC
Primary location
109 WARREN ST STE 4
BEAVER DAM, WI 53916-3082
Phone: (920) 885-3305 Fax: (920) 885-5506
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DOROTHY LARSON
ACCOUNT MANAGER
Phone: (920) 885-3305
Updated
Identifiers

Identifiers for COMMUNITY PEDIATRICS SC

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
MEDICAIDWI34638800
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)
363LP0200X
- Nurse Practitioner / Pediatrics

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.