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PONDEROSA PEDIATRICSS PLC
NPI 1124243688
Pediatrics in Prescott, AZ

Active since April 17, 2007
2120 CENTERPOINTE WEST DRIVE, PRESCOTT, AZ 86301(928) 443-1111(928) 443-5554 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ponderosa Pediatricss Plc NPPES

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

PONDEROSA PEDIATRICSS PLC (NPI 1124243688) is a healthcare organization registered as a pediatrics in Prescott, Arizona and active in the NPI registry since April 2007. The organization lists Deann Harguess, Credentialing Billing, as its authorized official.

NPPES Registry Identity

NPI1124243688
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePONDEROSA PEDIATRICSS PLC
Location Address2120 CENTERPOINTE WEST DRIVEPrescott, AZ 86301
Mailing Address2120 Centerpointe West DrivePrescott, AZ 86301 · (928) 443-1111 · Fax (928) 443-5554
Phone(928) 443-1111
Fax(928) 443-5554
Organization SubpartNo
Authorized OfficialDeann HarguessCredentialing Billing · (928) 443-1111
Enumeration DateApril 17, 2007
Last NPPES UpdateMay 15, 2008
✔ NPI 1124243688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
2120 CENTERPOINTE WEST DRIVE, Prescott, AZ 86301
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Other Identifiers 7

Other1326169657AZ · Individual Npi
Other1881653558AZ · Individual Npi
Other1336118926AZ · Individual Npi
Other1144299678AZ · Individual Npi
Other1629047097AZ · Individual Npi
Other1144299090AZ · Individual Npi
Other1912976879AZ · Individual Npi

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.

JAMES M MICK MD
Pediatrics
2120 CENTERPOINTE WEST DRIVE
PRESCOTT, AZ 86301
Yavapai County (928) 443-1111
ELIZABETH L HOWARD CNP
Nurse Practitioner (Pediatrics)
2120 CENTERPOINTE WEST DRIVE
PRESCOTT, AZ 86301
Yavapai County (928) 443-1111

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 Ponderosa Pediatricss Plc's NPI number?

The NPI number for Ponderosa Pediatricss Plc is 1124243688. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Ponderosa Pediatricss Plc located?

Ponderosa Pediatricss Plc is located at 2120 Centerpointe West Drive, Prescott, AZ 86301. The listed phone number is (928) 443-1111.

What is Ponderosa Pediatricss Plc'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 Ponderosa Pediatricss Plc was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.