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THE PEDIATRIC PRACTICE
NPI 1376535799
Pediatrics in Fayetteville, NC

Active since August 22, 2005
101 ROBESON ST, SUITE 300, FAYETTEVILLE, NC 28301(910) 609-1616(910) 609-1619 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Pediatric Practice NPPES

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

THE PEDIATRIC PRACTICE (NPI 1376535799) is a healthcare organization registered as a pediatrics in Fayetteville, North Carolina and active in the NPI registry since August 2005. The organization lists Richard H Parks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376535799
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHE PEDIATRIC PRACTICE
Location Address101 ROBESON ST, SUITE 300Fayetteville, NC 28301-5552
Mailing AddressPo Box 41209Fayetteville, NC 28309-1209 · (910) 609-6448 · Fax (910) 609-5070
Phone(910) 609-1616
Fax(910) 609-1619
Organization SubpartNo
Authorized OfficialRichard H ParksCeo · (910) 609-6700
Enumeration DateAugust 22, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376535799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · H0213
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.
101 ROBESON ST, Fayetteville, NC 28301
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Other Identifiers 1

Medicaid790236CNC

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 20

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

ASHLEY STONE MPH, CDCES
Health Educator
101 ROBESON ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 615-1885
DR. ELIZABETH WESTBROOK HUDSON PHARM.D., CPP, BCACP
Pharmacist (Ambulatory Care)
101 ROBESON ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 615-1821
DR. OSMANI DEOCHAND M.D.
Radiology (Diagnostic Radiology)
101 ROBESON ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 615-1860
MR. JARED DANT PA
Physician Assistant
101 ROBESON ST, SUITE 300
FAYETTEVILLE, NC 28301
Cumberland County (910) 609-1282
SARAH MCGRATH PHARMD
Pharmacist
101 ROBESON ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 615-6667
DR. AMY D WANGERIN PHARMD
Pharmacist
101 ROBESON ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 615-6667
DR. IFEYINWA JULIANA OKONKWO MD
Internal Medicine (Geriatric Medicine)
101 ROBESON ST, SUITE 203
FAYETTEVILLE, NC 28301
Cumberland County (910) 609-1630
DR. SHYAM KOMANDUR MD
Pediatrics
101 ROBESON ST, SUITE 300
FAYETTEVILLE, NC 28301
Cumberland County (910) 609-1616

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 The Pediatric Practice's NPI number?

The NPI number for The Pediatric Practice is 1376535799. It was assigned to this organization in the NPPES registry on August 22, 2005.

Where is The Pediatric Practice located?

The Pediatric Practice is located at 101 Robeson St Suite 300, Fayetteville, NC 28301. The listed phone number is (910) 609-1616.

What is The Pediatric Practice'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 The Pediatric Practice was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.