PEDIATRIC AND YOUNG ADULT MEDICINE, PA - NPI 1710129812

Q: What is Pediatric And Young Adult Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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About Pediatric And Young Adult Medicine, Pa NPPES

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

PEDIATRIC AND YOUNG ADULT MEDICINE, PA (NPI 1710129812) is a healthcare organization registered as a primary care in Hudson, Wisconsin and active in the NPI registry since April 2009. The organization lists Terri M Joseph, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1710129812

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePEDIATRIC AND YOUNG ADULT MEDICINE, PA

Location Address1610 MAXWELL DR, SUITE 245Hudson, WI 54016-8709

Mailing Address1804 7th St WSaint Paul, MN 55116-2300 · (651) 256-6706 · Fax (651) 256-6707

Phone(651) 256-6706

Fax(651) 256-6707

Organization SubpartNo

Authorized OfficialTerri M JosephClinic Administrator · (651) 256-6706

Enumeration DateApril 3, 2009

Last NPPES UpdateDecember 7, 2016

✔ NPI 1710129812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in MN · 154

1610 MAXWELL DR, Hudson, WI 54016

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Other Identifiers 10

Medicaid1912987900MN

Medicaid1245210095MN

Medicaid1104806165MN

Medicaid1083694046MN

Medicaid1245210210MN

Medicaid1881057065MN

Medicaid1497735419MN

Medicaid1477870921MN

Medicaid1386991339MN

Medicaid1861558835MN

Other Providers at the Same Location NPPES 7

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

DR. MATTHEW ROBERT NELSON DC

Chiropractor

1610 MAXWELL DR, SUITE 100
HUDSON, WI 54016

St. Croix County (715) 386-9393

DR. JOEL CARROLL SENGBUSCH DC

Chiropractor

1610 MAXWELL DR, STE. 100
HUDSON, WI 54016

St. Croix County (715) 386-9393

FOREFRONT DERMATOLOGY, S.C.

Dermatology

1610 MAXWELL DR, SUITE 210
HUDSON, WI 54016

St. Croix County (715) 386-5278

MS. HOLLY J REYNOLDS BUCHEN PA

Physician Assistant

1610 MAXWELL DR
HUDSON, WI 54016

St. Croix County (715) 389-5278

PERIODONTAL CENTER

Dentist (Periodontics)

1610 MAXWELL DR
HUDSON, WI 54016

St. Croix County (715) 690-3050

BEST CHIROPRACTIC CLINIC SC

Chiropractor

1610 MAXWELL DR, STE 100
HUDSON, WI 54016

St. Croix County (715) 386-9393

ST. CROIX WOMEN'S CENTER, S.C.

Clinic/Center (Medical Specialty)

1610 MAXWELL DR, SUITE 200
HUDSON, WI 54016

St. Croix County (715) 381-9566

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 And Young Adult Medicine, PA's NPI number?

The NPI number for Pediatric And Young Adult Medicine, PA is 1710129812. It was assigned to this organization in the NPPES registry on April 3, 2009.

Where is Pediatric And Young Adult Medicine, PA located?

Pediatric And Young Adult Medicine, PA is located at 1610 Maxwell Dr Suite 245, Hudson, WI 54016. The listed phone number is (651) 256-6706.

What is Pediatric And Young Adult Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Pediatric And Young Adult Medicine, PA was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.