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: July 19, 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
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

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.

Pediatrics
2120 CENTERPOINTE WEST DRIVE
PRESCOTT, AZ 86301
Nurse Practitioner (Pediatrics)
2120 CENTERPOINTE WEST DRIVE
PRESCOTT, AZ 86301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124243688, enumerated as an "organization" on April 17, 2007.

The provider is located at 2120 CENTERPOINTE WEST DRIVE PRESCOTT, AZ 86301 and the phone number is (928) 443-1111.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.