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PROVIDENCE PEDIATRICS
NPI 1962673772
Pediatrics in Phoenix, AZ

Active since March 19, 2008
9100 N CENTRAL AVE, SUITE E, PHOENIX, AZ 85020(602) 997-9898(602) 997-9901 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Pediatrics NPPES

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

PROVIDENCE PEDIATRICS (NPI 1962673772) is a healthcare organization registered as a pediatrics in Phoenix, Arizona and active in the NPI registry since March 2008. The organization lists Lourdes Rodriguez, Billing, as its authorized official.

NPPES Registry Identity

NPI1962673772
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePROVIDENCE PEDIATRICS
Location Address9100 N CENTRAL AVE, SUITE EPhoenix, AZ 85020-2430
Mailing Address9100 N Central Ave, Suite EPhoenix, AZ 85020-2430 · (602) 997-9898 · Fax (602) 997-9901
Phone(602) 997-9898
Fax(602) 997-9901
Organization SubpartNo
Authorized OfficialLourdes RodriguezBilling · (602) 254-7077
Enumeration DateMarch 19, 2008
✔ NPI 1962673772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
9100 N CENTRAL AVE, Phoenix, AZ 85020
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Other Identifiers 1

Medicaid531881AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

NOBLE 12 BUSINESS SOLLUTIONS LLC
Community/Behavioral Health
9100 N CENTRAL AVE
PHOENIX, AZ 85020
Maricopa County (800) 793-4656
BRAVE HEARTS WELLNESS, LLC
Community/Behavioral Health
9100 N CENTRAL AVE
PHOENIX, AZ 85020
Maricopa County (480) 664-4641
BRAVE HEARTS WELLNESS CENTER, LLC
Clinic/Center
9100 N CENTRAL AVE
PHOENIX, AZ 85020
Maricopa County (623) 244-7403

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 Providence Pediatrics's NPI number?

The NPI number for Providence Pediatrics is 1962673772. It was assigned to this organization in the NPPES registry on March 19, 2008.

Where is Providence Pediatrics located?

Providence Pediatrics is located at 9100 N Central Ave Suite E, Phoenix, AZ 85020. The listed phone number is (602) 997-9898.

What is Providence Pediatrics'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 Providence Pediatrics was last updated on March 19, 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.