WAYNE PEDIATRIC ASSOCIATES


Address: 110 W Lancaster Ave, Suite 3, Wayne, PA 19087-4043
Phone: 6102932229

WAYNE PEDIATRIC ASSOCIATES (NPI# 1952315822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952315822
Entity Type Organization
Organization Name WAYNE PEDIATRIC ASSOCIATES
Practice Address 110 W Lancaster Ave
Suite 3
Wayne
PA 19087-4043
Practice Telephone 6102932229
Practice Fax Number 6102932231
Mailing Telephone 6102932229
Mailing Fax Number 6102932231
Enumeration Date 2006-07-28
Last Update Date 2020-08-22
Authorized Official Name RUTH MOOREVILLE (DOCTOR)
Authorized Official Telephone 610-293-2229
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 110 W LANCASTER AVE
SUITE 3
City WAYNE
State PA
Zip Code 19087-4043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518960293 Hilary Field Pediatrics 110 W Lancaster Ave, Ste 3, Wayne, PA 19087-4043 2005-05-24
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1003951872 David Lloyd Black Pediatrics 110 W Lancaster Ave, Suite 200, Wayne, PA 19087-4043 2007-02-20

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City WAYNE
Zip Code 19087

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Dataset Information

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.

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