PEDIATRIC AND ADOLESCENT MEDICINE SPECIALISTS, LLC
NPI 1942833702
Clinic/Center - Primary Care in Denham Springs, LA

Active since February 19, 2020
1213 N RANGE AVE, DENHAM SPRINGS, LA 70726(225) 933-0090 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 19D1027750
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-28-2025

About PEDIATRIC AND ADOLESCENT MEDICINE SPECIALISTS, LLC

This page provides the complete NPI Profile along with additional information for Pediatric And Adolescent Medicine Specialists, Llc, a primary care provider established in Denham Springs, Louisiana operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1942833702 assigned on February 2020. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. David Van Gelder (Owner)

NPI
1942833702 Verify this NPI
Provider Name
PEDIATRIC AND ADOLESCENT MEDICINE SPECIALISTS, LLC
Entity Type
Organization
Location Address
1213 N RANGE AVE DENHAM SPRINGS, LA 70726
Location Phone
(225) 933-0090
Mailing Address
1213 N RANGE AVE DENHAM SPRINGS, LA 70726
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2020
Last Update Date
02-19-2020
Code Navigator

A primary care provider (PCP) like Pediatric And Adolescent Medicine Specialists, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID VAN GELDER

Authorized Official Title
OWNER
Authorized Official Phone
(225) 252-6520

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D1027750
Facility Type
Physician Office
Certificate Effective Date
December 29, 2023
Certificate Expiration Date
December 28, 2025
Laboratory Director
PHYLLIS E. TOUPS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric And Adolescent Medicine Specialists, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
1213 N RANGE AVE
DENHAM SPRINGS, LA 70726
Nurse Practitioner (Primary Care)
1213 N RANGE AVE
DENHAM SPRINGS, LA 70726
Nurse Practitioner (Family)
1213 N RANGE AVE
DENHAM SPRINGS, LA 70726
Nurse Practitioner (Pediatrics)
1213 N RANGE AVE
DENHAM SPRINGS, LA 70726

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942833702, enumerated as an "organization" on February 19, 2020.

The provider is located at 1213 N RANGE AVE DENHAM SPRINGS, LA 70726 and the phone number is (225) 933-0090.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.