MAIN STREET PEDIATRICS
NPI 1073102976
Pediatrics in Mesa, AZ
About Main Street Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET PEDIATRICS (NPI 1073102976) is a healthcare organization registered as a pediatrics in Mesa, Arizona and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Stacie Self, Billing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 2
Other Identifiers 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2211642
Main Street Pediatrics · Mesa, AZOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bethesda Pediatrics Of Queen Creek's NPI number?
The NPI number for Bethesda Pediatrics Of Queen Creek is 1073102976. It was assigned to this organization in the NPPES registry on January 14, 2021. The provider is doing business as Main Street Pediatrics and Pediatrics Of Queen Creek.
Where is Bethesda Pediatrics Of Queen Creek located?
Bethesda Pediatrics Of Queen Creek is located at 130 S 63rd St, Mesa, AZ 85206. The listed phone number is (480) 792-9200.
What is Bethesda Pediatrics Of Queen Creek's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Does Bethesda Pediatrics Of Queen Creek hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2211642) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bethesda Pediatrics Of Queen Creek was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
