TRIBE513, P.A. – NPI #1366983637
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.

TRIBE513, P.A. is a provider located in SIMPSONVILLE, SC. NPPES has assigned the NPI number 1366983637 to TRIBE513, P.A. on March 20, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PARKSIDE PEDIATRICS. 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 6 years ago on Jan 30, 2020. 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 TRIBE513, P.A. below.

NPI Profile for
TRIBE513, P.A.

NPI Number
1366983637
Enumeration Date

(more than 9 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
TRIBE513, P.A.
Former Legal Business Name: PARKSIDE PEDIATRICS
Primary location
312 HARRISON BRIDGE RD
SIMPSONVILLE, SC 29680-7133
Phone: (864) 272-0388 Fax: (864) 213-9237
1 Other location(s):
30 Halter Dr
Piedmont, SC 29673-6741
Phone: (864) 272-0388
Fax: (864) 213-9237
Mailing address
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607-4021
Phone: (864) 272-0388 Fax: (864) 213-9237
Organization Subpart
No
Authorized Official
MELISSA OOSTDYK
COORDINATOR, PROVIDER RELATIONS
Phone: (864) 272-0388
Updated
Certification Date
Jan 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.