MOUNTAIN PEDIATRICS CLINIC PLLC
NPI 1033273735
Pediatrics in Show Low, AZ

Active since December 20, 2006
5171 CUB LAKE ROAD, SUITE B230, SHOW LOW, AZ 85901(928) 537-3500(928) 537-3552 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Pediatrics Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN PEDIATRICS CLINIC PLLC (NPI 1033273735) is a healthcare organization registered as a pediatrics in Show Low, Arizona and active in the NPI registry since December 2006. The organization lists Richard Todhunter, Owner, as its authorized official.

NPPES Registry Identity

NPI1033273735
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMOUNTAIN PEDIATRICS CLINIC PLLC
Location Address5171 CUB LAKE ROAD, SUITE B230Show Low, AZ 85901-7888
Mailing Address5171 Cub Lake Rd, Suite B230Show Low, AZ 85901-7888 · (928) 537-3500 · Fax (928) 537-3552
Fax(928) 537-3552
Organization SubpartNo
Authorized OfficialRichard TodhunterOwner · (928) 537-3500
Enumeration DateDecember 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1033273735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AZ · 31953
Definition
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.
5171 CUB LAKE ROAD, Show Low, AZ 85901

Other Identifiers 1

Medicaid799942AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5171 CUB LAKE ROAD, BUILDING B SUITE 260
SHOW LOW, AZ 85901
Specialist
5171 CUB LAKE ROAD, BLDG B SUITE 210
SHOW LOW, AZ 85901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Pediatrics Clinic PLLC's NPI number?

The NPI number for Mountain Pediatrics Clinic PLLC is 1033273735. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Mountain Pediatrics Clinic PLLC located?

Mountain Pediatrics Clinic PLLC is located at 5171 Cub Lake Road Suite B230, Show Low, AZ 85901. The listed phone number is (928) 537-3500.

What is Mountain Pediatrics Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mountain Pediatrics Clinic PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.