PEDIACLINIC LLC (NPI# 1851866180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851866180 |
| Entity Type | Organization |
| Organization Name | PEDIACLINIC LLC |
| Practice Address |
9555 South University Blvd Unit B-2 Highlands Ranch CO 80126 |
| Mailing Address |
9094 E Mineral Ave Ste 100 Centennial CO 80112 |
| Practice Telephone | 3033023879 |
| Mailing Telephone | 3036943200 |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2018-10-13 |
| Authorized Official Name | DR. DANIEL JAMES FEITEN (BOARD MEMBER) |
| Authorized Official Telephone | 3039811494 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PediaClinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PediaClinic LLC | 9555 S. University Blvd, #102, Highlands Ranch, CO 80126 |
| Street Address |
9555 SOUTH UNIVERSITY BLVD UNIT B-2 |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083126775 | Speech and Song for Extraordinary Kids, LLC | Speech-Language Pathologist | 8628 S. Forrest Drive, Highlands Ranch, CO 80126 | 2017-11-02 |
| 1629597042 | Great Play of Highlands Ranch | Community/Behavioral Health | 5690 E County Line Pl, Unit D, Highlands Ranch, CO 80126 | 2017-09-18 |
| 1174048003 | Uyen Hoang Le | Pharmacist | 9786 S Bexley Dr, Littleton, CO 80126 | 2017-08-11 |
| 1154841054 | Stephen Andrew Valente | Social Worker | 2465 Lansdowne Ct., Highlands Ranch, CO 80126 | 2017-06-21 |
| 1477080620 | Francine Elizabeth Becker | Counselor | 3011 Wyecliff Way, Highlands Ranch, CO 80126 | 2017-05-18 |
| 1851835789 | Xiaoyan Zhang | Nurse Practitioner | 9152 Kenwoo Ct, Highlands Ranch, CO 80126 | 2016-12-12 |
| 1942654207 | Shruti Gupta | Family Medicine | 9331 S. Colorado Blvd, Suite 200, Highlands Ranch, CO 80126 | 2016-04-22 |
| 1295194017 | Chad Waxman | Psychologist | 10674 Cherrington Street, Highlands Ranch, CO 80126 | 2016-02-22 |
| 1053726331 | Karenfowler Smith | Social Worker | 10640 S. Wildhurst Circle, Highlands Ranch, CO 80126 | 2014-06-25 |
| 1407299373 | Michael Dene Coslet | Pharmacist | 8673 South Quebec, Highlands Ranch, CO 80126 | 2013-04-10 |
| Find all providers in zip 80126 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974356 | Littleton Pediatric Medical Center | Pediatrics | 206 W County Line Rd Ste 110, Highlands Ranch, CO 80129-2319 | 2020-02-18 |
| 1831753300 | Sarah Carlson Yost | Pediatrics | 9555 S University Blvd Unit 102, Highlands Ranch, CO 80126-8114 | 2019-04-30 |
| 1629240403 | Jennifer Ann Harr | Pediatrics | 9137 Ridgeline Blvd, Suite 130, Highlands Ranch, CO 80129 | 2008-04-01 |
| 1598820615 | Nancy S Mckenzie | Pediatrics | 8671 S Quebec, Ste 110, Highlands Ranch, CO 80126-5860 | 2006-12-27 |
| 1205997590 | Stacey L. Ludlow | Pediatrics | 66 Springer Dr Ste 315, Highlands Ranch, CO 80129 | 2006-12-12 |
| 1992879704 | Shanna Dee Hall | Pediatrics | 9330 S University Blvd Ste 130, Highlands Ranch, CO 80126-5049 | 2006-11-20 |
| 1013932086 | Angela Maria Rosetti | Pediatrics | 9285 Hepburn Street, Highlands Ranch, CO 80129-2262 | 2006-07-12 |
| 1205829108 | Robert O Gin | Pediatrics | 206 W County Line Rd, Ste 110, Highlands Ranch, CO 80129-2318 | 2005-08-25 |
| 1316930209 | Deborah K Bublitz | Pediatrics | 206 West County Line Rd, Ste 110, Highlands Ranch, CO 80129-2319 | 2005-08-25 |
| 1760488811 | Laurie D Cruz | Pediatrics | 9285 Hepburn St, Highlands Ranch, CO 80129-2262 | 2005-06-23 |
| Find all providers in HIGHLANDS RANCH | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80126 |
Please comment or provide details below to improve the information on PEDIACLINIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.