SOUTHERN INDIANA PEDIATRICS, LLC - NPI 1417921933

Q: What is Southern Indiana Pediatrics, LLC's NPI number?

The NPI number for Southern Indiana Pediatrics, LLC is 1417921933. It was assigned to this organization in the NPPES registry on February 13, 2006.

Q: What is Southern Indiana Pediatrics, LLC's specialty?

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

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About Southern Indiana Pediatrics, Llc NPPES

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

SOUTHERN INDIANA PEDIATRICS, LLC (NPI 1417921933) is a healthcare organization registered as a pediatrics in Bloomington, Indiana and active in the NPI registry since February 2006. The organization lists Michael Craig, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417921933

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSOUTHERN INDIANA PEDIATRICS, LLC

Location Address350 S LANDMARK AVEBloomington, IN 47403-5001

Mailing Address350 S Landmark AveBloomington, IN 47403-5001 · (812) 335-2434 · Fax (812) 335-7604

Phone(812) 335-2434

Fax(812) 335-7604

Organization SubpartNo

Authorized OfficialMichael CraigCfo · (812) 353-9554

Enumeration DateFebruary 13, 2006

Last NPPES UpdateFebruary 15, 2018

✔ NPI 1417921933 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.

350 S LANDMARK AVE, Bloomington, IN 47403

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Other Identifiers 1

Medicaid200026580IN

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.

NICHOLE HICKMAN NP

Nurse Practitioner (Pediatrics)