OWEN PARK PEDIATRICS, PA – NPI #1548424104
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.

OWEN PARK PEDIATRICS, PA is a provider located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1548424104 to OWEN PARK PEDIATRICS, PA on July 14, 2008. 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.

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 OWEN PARK PEDIATRICS, PA below.

NPI Profile for
OWEN PARK PEDIATRICS, PA

NPI Number
1548424104
Enumeration Date

(about 18 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
OWEN PARK PEDIATRICS, PA
Primary location
1520 OWEN PARK LN
FAYETTEVILLE, NC 28304-3454
Phone: (910) 860-3500 Fax: (910) 485-3507
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL ADHOLLA
OWNER
Phone: (910) 860-3500
Updated
Identifiers

Identifiers for OWEN PARK PEDIATRICS, PA

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
MEDICAIDNC8911931
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.