SOUTHSIDE INTERNAL MEDICINE-PEDIATRICS LLC
NPI 1184729071
Internal Medicine in Oil City, PA

Active since September 14, 2006
204 CENTRAL AVE, OIL CITY, PA 16301(814) 677-4045(814) 676-2364 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southside Internal Medicine-pediatrics Llc NPPES

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

SOUTHSIDE INTERNAL MEDICINE-PEDIATRICS LLC (NPI 1184729071) is a healthcare organization registered as an internal medicine in Oil City, Pennsylvania and active in the NPI registry since September 2006. The organization lists Donna M Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1184729071
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHSIDE INTERNAL MEDICINE-PEDIATRICS LLC
Location Address204 CENTRAL AVEOil City, PA 16301-2738
Mailing Address204 Central AveOil City, PA 16301-2738 · (814) 677-4045 · Fax (814) 676-2364
Fax(814) 676-2364
Organization SubpartNo
Authorized OfficialDonna M AndersonOwner · (814) 677-4045
Enumeration DateSeptember 14, 2006
Last NPPES UpdateNovember 19, 2009
NPI 1184729071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD072420L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License MD072420L (PA)
204 CENTRAL AVE, Oil City, PA 16301

Other Identifiers 3

Medicaid0018239070003PA
Medicare UPINH25765
Medicare ID-Type Unspecified042142PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Southside Internal Medicine-Pediatrics LLC's NPI number?

The NPI number for Southside Internal Medicine-Pediatrics LLC is 1184729071. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Southside Internal Medicine-Pediatrics LLC located?

Southside Internal Medicine-Pediatrics LLC is located at 204 Central Ave, Oil City, PA 16301. The listed phone number is (814) 677-4045.

What is Southside Internal Medicine-Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southside Internal Medicine-Pediatrics LLC was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.