KIDZCARE PEDIATRICS, PC (NPI# 1629394614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629394614 |
| Entity Type | Organization |
| Organization Name | KIDZCARE PEDIATRICS, PC |
| Other Organization Name | PEDIATRIC ASSOCIATES, PC |
| Practice Address |
1022 N Bragg Boulevard Spring Lake NC 28390-2709 |
| Mailing Address |
Po Box 647 Hope Mills NC 28348-0647 |
| Practice Telephone | 9104957337 |
| Practice Fax Number | 9104950747 |
| Mailing Telephone | 9104837337 |
| Mailing Fax Number | 9104830648 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | MS. REBECCA E WRIGHT (CREDENTIALS MANAGER) |
| Authorized Official Telephone | 9104837337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 016VP | 01 |
| NC | BLUE CROSS BLUE SHEILD | 1342H | 01 |
| NC | 5914484 | 05 | |
| NC | BCBS NC | 016VR | 01 |
| Other Name | Type Code |
|---|---|
| Pediatric Associates, PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1972015097 | Kidzcare Pediatrics, PC | Pediatrics | 112 Medical Village Dr Ste D, Wallace, NC 28466-1665 | 2017-10-30 |
| 1639603087 | Kidzcare Pediatrics, PC | Pediatrics | 189 Bo James St, Suite 1, Clayton, GA 30525-6066 | 2017-04-12 |
| 1598126781 | Kidzcare Pediatrics, PC | Pediatrics | 853 Durham Rd Ste B, Wake Forest, NC 27587-8793 | 2016-03-15 |
| 1023420973 | Kidzcare Pediatrics, PC | Pediatrics | 1406 South Main Street, Lillington, NC 27546 | 2014-05-27 |
| 1861627226 | Kidzcare Pediatrics, PC | Pediatrics | 5617 Ramsey Street, Fayetteville, NC 28311-1423 | 2009-05-28 |
| 1679529051 | Kidzcare Pediatrics, PC | Pediatrics | 3436 N Main Street, Hope Mills, NC 28348 | 2006-05-26 |
| 1164934485 | Kidzcare Pediatrics, PC | Pediatrics | 132 Sylva Plz, Sylva, NC 28779-5252 | 2017-10-26 |
| Street Address |
1022 N BRAGG BOULEVARD |
| City | SPRING LAKE |
| State | NC |
| Zip Code | 28390-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296208 | Morgan Lubawski | Behavior Technician | 1018 N Bragg Blvd Suite A, Spring Lake, NC 28390 | 2019-10-14 |
| 1285281451 | Cassandra Lynetta Burney | Nurse Practitioner | 104 Lake Ave, Spring Lake, Nc 28390, Spring Lake, NC 28390 | 2019-08-22 |
| 1861956500 | Victoria Denise Bland | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390 | 2019-01-28 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1174034052 | Danielle Nicole Lord | Specialist | 401 Lillington Hwy N 210, Spring Lake, NC 28390 | 2017-10-18 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1699210690 | Rhea Lorena Jimenez | Nurse Practitioner | 517b Hwy 210 N, Spring Lake, NC 28390 | 2016-12-29 |
| 1841641883 | Parise Exquisite | Prosthetic/Orthotic Supplier | 401 Nc-210, Spring Lake, NC 28390 | 2016-06-30 |
| 1083037444 | Dr. Vincent Vissichelli & Associates, D.m.d., P.a. | Dentist | 2980 Ray Road, Spring Lake, NC 28390 | 2014-01-21 |
| 1376820761 | Jamie Gilles | Pharmacist | 512 Villag Lake Court Apt # 201, Spring Lake, NC 28390 | 2011-11-14 |
| Find all providers in zip 28390 | ||||
| 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 |
|---|---|---|---|---|
| 1205066065 | Prabesh Bajracharya | Pediatrics | 1022 N Bragg Blvd, Spring Lake, NC 28390-3316 | 2009-07-15 |
| 1992962088 | Lorieta H Bogdan | Pediatrics | 2220 1st Ave, Spring Lake, NJ 07762-1649 | 2008-05-17 |
| 1518915735 | Michael James Cahill | Pediatrics | 402 Passaic Ave, Spring Lake, NJ 07762-1323 | 2006-05-04 |
| 1033186408 | Victoria Pirogovsky | Pediatrics | 613 Warren Ave, Spring Lake, NJ 07762-2038 | 2006-03-03 |
| 1639398365 | Spring Lake Pediatrics Associates | Pediatrics | 613 Warren Ave, Spring Lake, NJ 07762-2038 | 2007-04-24 |
| 1154406361 | Ellen Miele | Pediatrics | 613 Warren Ave, Spring Lake, NJ 07762-2038 | 2006-10-26 |
| 1578651790 | Lorette Joan Sciarappa | Pediatrics | 613 Warren Ave, Spring Lake, NJ 07762-2038 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | SPRING LAKE |
| Zip Code | 28390 |
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| 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.