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PEDIATRIC & PREVENTIVE MEDICINE ASSOC PC
NPI 1447311576
Pediatrics in Philadelphia, PA

Active since December 13, 2006
4035 POWELTON AVE, PHILADELPHIA, PA 19104(215) 471-7000(215) 474-0451 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric & Preventive Medicine Assoc Pc NPPES

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

PEDIATRIC & PREVENTIVE MEDICINE ASSOC PC (NPI 1447311576) is a healthcare organization registered as a pediatrics in Philadelphia, Pennsylvania and active in the NPI registry since December 2006. The organization lists Randall Terence Drain, President Owner, as its authorized official.

NPPES Registry Identity

NPI1447311576
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC & PREVENTIVE MEDICINE ASSOC PC
Location Address4035 POWELTON AVEPhiladelphia, PA 19104-2262
Mailing Address3847 North Sydenham StreetPhiladelphia, PA 19140 · (215) 227-3300 · Fax (215) 227-3118
Phone(215) 471-7000
Fax(215) 474-0451
Organization SubpartNo
Authorized OfficialRandall Terence DrainPresident Owner · (215) 227-3300
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 11, 2016
✔ NPI 1447311576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD039729L
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.
4035 POWELTON AVE, Philadelphia, PA 19104
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Other Identifiers 2

Medicaid1054660PA
Medicare UPINB41554

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

Other Providers at the Same Location NPPES

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

RANDALL TERENCE DRAIN SR. MD
Pediatrics
4035 POWELTON AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 471-7000

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 Pediatric & Preventive Medicine Assoc PC's NPI number?

The NPI number for Pediatric & Preventive Medicine Assoc PC is 1447311576. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Pediatric & Preventive Medicine Assoc PC located?

Pediatric & Preventive Medicine Assoc PC is located at 4035 Powelton Ave, Philadelphia, PA 19104. The listed phone number is (215) 471-7000.

What is Pediatric & Preventive Medicine Assoc PC'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 Pediatric & Preventive Medicine Assoc PC was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.