CEDAR LAKE PEDIATRIC CLINIC PLLC – NPI #1497826044
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

CEDAR LAKE PEDIATRIC CLINIC PLLC is a provider located in BILOXI, MS. NPPES has assigned the NPI number 1497826044 to CEDAR LAKE PEDIATRIC CLINIC PLLC on November 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 19 years ago on Jul 12, 2007. 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 CEDAR LAKE PEDIATRIC CLINIC PLLC below.

NPI Profile for
CEDAR LAKE PEDIATRIC CLINIC PLLC

NPI Number
1497826044
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
CEDAR LAKE PEDIATRIC CLINIC PLLC
Primary location
1721 MEDICAL PARK DR STE 200
BILOXI, MS 39532-2105
Phone: (228) 248-2572 Fax: (228) 396-0687
Mailing address
PO BOX 8873
BILOXI, MS 39535-8873
Phone: (228) 248-2572 Fax: (228) 396-0687
Organization Subpart
No
Authorized Official
LISA HALLER
OWNER
Phone: (228) 248-2572
Updated
Identifiers

Identifiers for CEDAR LAKE PEDIATRIC CLINIC PLLC

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
MEDICAIDMS09479561
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.