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COMMUNITY PEDIATRICS SC
NPI 1275749566
Pediatrics in Beaver Dam, WI

Active since May 15, 2007
109 WARREN ST STE 4, BEAVER DAM, WI 53916(920) 885-3305(920) 885-5506 Get Directions Write a Review

NPPES record last updated: April 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Pediatrics Sc NPPES

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

COMMUNITY PEDIATRICS SC (NPI 1275749566) is a healthcare organization registered as a pediatrics in Beaver Dam, Wisconsin and active in the NPI registry since May 2007. The organization lists Dorothy Jean Larson, Account Manager, as its authorized official.

NPPES Registry Identity

NPI1275749566
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOMMUNITY PEDIATRICS SC
Location Address109 WARREN ST STE 4Beaver Dam, WI 53916-3082
Mailing Address109 Warren St Ste 4Beaver Dam, WI 53916-3082 · (920) 885-3305 · Fax (920) 885-5506
Phone(920) 885-3305
Fax(920) 885-5506
Organization SubpartNo
Authorized OfficialDorothy Jean LarsonAccount Manager · (920) 885-3305
Enumeration DateMay 15, 2007
Last NPPES UpdateApril 8, 2010
✔ NPI 1275749566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
109 WARREN ST STE 4, Beaver Dam, WI 53916
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Other Identifiers 2

Medicare UPINI34154WI
Medicaid34638800WI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 3

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

MISTY M ROMERO RIVERA APNP
Nurse Practitioner (Pediatrics)
109 WARREN ST STE 4
BEAVER DAM, WI 53916
Dodge County (608) 915-0150
JAY M MIESFELD M.D.
Pediatrics
109 WARREN ST STE 4
BEAVER DAM, WI 53916
Dodge County (920) 885-3305
MS. KAITLYN N PUFAHL CPNP
Nurse Practitioner (Pediatrics)
109 WARREN ST STE 4
BEAVER DAM, WI 53916
Dodge County (920) 885-3305

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 Community Pediatrics Sc's NPI number?

The NPI number for Community Pediatrics Sc is 1275749566. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Community Pediatrics Sc located?

Community Pediatrics Sc is located at 109 Warren St Ste 4, Beaver Dam, WI 53916. The listed phone number is (920) 885-3305.

What is Community Pediatrics Sc's specialty?

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

What insurance does Community Pediatrics Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Community Pediatrics Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Pediatrics Sc was last updated on April 8, 2010. 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.