LAUREL PEDIATRIC CLINIC
NPI 1821342379
Pediatrics - Adolescent Medicine in Laurel, MS
- Organization
- Pediatrics
- Adolescent Medicine
About LAUREL PEDIATRIC CLINIC
This page provides the complete NPI Profile along with additional information for Laurel Pediatric Clinic, a pediatrician established in Laurel, Mississippi operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1821342379 assigned on November 2012. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Laurel Pediatric Clinic. The authorized official of this NPI record is Mr. James T Canizaro (Vice President/ C.f.o.)
- NPI
- 1821342379 Verify this NPI
- Provider Legal Name
- SOUTH CENTRAL REGIONAL MEDICAL CENTER
- Other Organization Name
- LAUREL PEDIATRIC CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 234 S 12TH AVE LAUREL, MS 39440
- Location Phone
- (601) 649-3520
- Location Fax
- (601) 649-7899
- Mailing Address
- PO BOX 1649 LAUREL, MS 39441
- Mailing Phone
- (601) 425-7583
- Mailing Fax
- (601) 399-6281
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-06-2012
- Last Update Date
- 11-06-2012
- Code Navigator
A pediatrician like Laurel Pediatric Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08705378 | MEDICAID (05) | MS |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
LAUREL, MS 39440
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821342379, enumerated as an "organization" on November 06, 2012.
The provider is located at 234 S 12TH AVE LAUREL, MS 39440 and the phone number is (601) 649-3520.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
