ARUNDEL PEDIATRICS, PA - NPI 1265400113 - Pediatrics in Arnold, MD

Q: What is Arundel Pediatrics, PA's NPI number?

The NPI number for Arundel Pediatrics, PA is 1265400113. It was assigned to this organization in the NPPES registry on March 8, 2006.

Q: What is Arundel Pediatrics, PA's specialty?

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

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About Arundel Pediatrics, Pa NPPES

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

ARUNDEL PEDIATRICS, PA (NPI 1265400113) is a healthcare organization registered as a pediatrics in Arnold, Maryland and active in the NPI registry since March 2006. The organization lists Jaime Hilliard, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1265400113

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameARUNDEL PEDIATRICS, PA

Location Address1460 RITCHIE HWY STE 209Arnold, MD 21012-2741

Mailing Address1460 Ritchie Hwy Ste 209Arnold, MD 21012-2741 · (410) 789-7337 · Fax (410) 349-1107

Phone(410) 789-7337

Fax(410) 349-1107

Organization SubpartNo

Authorized OfficialJaime HilliardPractice Manager · (410) 789-7337

Enumeration DateMarch 8, 2006

Last NPPES UpdateJune 4, 20245 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1265400113 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.

1460 RITCHIE HWY STE 209, Arnold, MD 21012

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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

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 21D2009426

Arundel Pediatrics PA · Arnold, MD

Expired · Jul 1, 2026

CLIA Number21D2009426

Laboratory TypePhysician Office

Certificate Effective DateJuly 2, 2024

Certificate Expiration DateJuly 1, 2026

Laboratory DirectorDr. Rebecca F. Vickers

Laboratory Phone(410) 789-7337

Laboratory LocationArundel Pediatrics PA1460 Ritchie Hwy Suite 209, Arnold, MD 21012

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. ALISSA WON M.D.

Pediatrics