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MOUNTAIN MEDICAL PEDIATRICS
NPI 1821210352
Specialist in Saranac Lake, NY

Active since May 03, 2007
1927 SARANAC AVE, SARANAC LAKE, NY 12983(518) 523-7575 Get Directions Write a Review

NPPES record last updated: February 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Medical Pediatrics NPPES

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

MOUNTAIN MEDICAL PEDIATRICS (NPI 1821210352) is a healthcare organization registered as a specialist in Saranac Lake, New York and active in the NPI registry since May 2007. The organization lists Keri Wallace, M.d., as its authorized official.

NPPES Registry Identity

NPI1821210352
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOUNTAIN MEDICAL PEDIATRICS
Location Address1927 SARANAC AVESaranac Lake, NY 12983
Mailing Address1927 Saranac AveSaranac Lake, NY 12983
Phone(518) 523-7575
Organization SubpartNo
Authorized OfficialKeri WallaceM.d. · (518) 523-7575
Enumeration DateMay 3, 2007
Last NPPES UpdateFebruary 18, 2008
✔ NPI 1821210352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 236345
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1927 SARANAC AVE, Saranac Lake, NY 12983
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Other Identifiers 2

Medicare ID-Type UnspecifiedBA0289NY
Medicaid02752954NY

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

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 Mountain Medical Pediatrics's NPI number?

The NPI number for Mountain Medical Pediatrics is 1821210352. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Mountain Medical Pediatrics located?

Mountain Medical Pediatrics is located at 1927 Saranac Ave, Saranac Lake, NY 12983. The listed phone number is (518) 523-7575.

What is Mountain Medical Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mountain Medical Pediatrics was last updated on February 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.