PEDIRITE MEDICAL TN PLLC – NPI #1255189718
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

PEDIRITE MEDICAL TN PLLC is a provider located in KINGSPORT, TN. NPPES has assigned the NPI number 1255189718 to PEDIRITE MEDICAL TN PLLC on May 09, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 PEDIRITE MEDICAL TN PLLC below.

NPI Profile for
PEDIRITE MEDICAL TN PLLC

NPI Number
1255189718
Enumeration Date

(more than 2 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
PEDIRITE MEDICAL TN PLLC
Primary location
100 NETHERLAND LN
KINGSPORT, TN 37660-7245
Phone: (212) 764-0008 Fax:
Mailing address
267 BROADWAY FL 2
BROOKLYN, NY 11211-6216
Phone: (212) 764-0008 Fax:
Organization Subpart
No
Authorized Official
SOL KLEIN
OFFICE
Phone: (212) 764-0008
Updated
Certification Date
May 09, 2024

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
208D00000X
- General Practice (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.