KIDZCARE PEDIATRICS, PC (NPI# 1972015097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972015097 |
| Entity Type | Organization |
| Organization Name | KIDZCARE PEDIATRICS, PC |
| Practice Address |
112 Medical Village Dr Ste D Wallace NC 28466-1665 |
| Mailing Address |
5617 Ramsey St Fayetteville NC 28311-1423 |
| Practice Telephone | 9106651437 |
| Practice Fax Number | 9106651315 |
| Mailing Telephone | 9104837337 |
| Mailing Fax Number | 9104830648 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | SHANTAE RENEE LOCKHART (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9104837337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1629394614 | Kidzcare Pediatrics, PC | Pediatrics | 1022 N Bragg Boulevard, Spring Lake, NC 28390-2709 | 2010-04-15 |
| 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 |
112 MEDICAL VILLAGE DR STE D |
| City | WALLACE |
| State | NC |
| Zip Code | 28466-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
| 1659891232 | Tonia Gray | Registered Nurse | 407 Fremont Street, Burgaw, NC 28466 | 2017-06-23 |
| 1164968889 | Angela Boney | Pharmacist | 5625 S Nc Hwy 41, Wallace, NC 28466 | 2017-01-19 |
| 1790111961 | Realo Discount Drug Stores of Enc, Inc | Pharmacy | 5655 S Nc 41 Hwy, Wallace, NC 28466 | 2013-09-19 |
| 1699938993 | The Lawsons House | Clinic/Center | 116 West Main St, Wallace, NC 28466 | 2008-07-07 |
| 1184842098 | Continuum Care Corporation | Assisted Living Facility | 1052 Ne Railroad St., Wallace, NC 28466 | 2007-04-23 |
| 1467677229 | Pigfords Physical Therapy Assoc Inc | Physical Therapist | 112 E Medical Village Dr, Wallace, NC 28466 | 2007-04-16 |
| 1598875379 | Wilson Family Pharmacies Inc | Pharmacy | 116 East Main St, Wallace, NC 28466 | 2006-08-30 |
| 1659317394 | Axon Darren Sholar | Dentist | 522 S Norwood St, Wallace, NC 28466 | 2006-06-21 |
| 1083121396 | Kelsey Lynn Vallee | Pharmacist | 5717 S Nc 41 Hwy, Wallace, NC 28466 | 2018-01-08 |
| Find all providers in zip 28466 | ||||
| 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 |
|---|---|---|---|---|
| 1922195411 | Mary S Gaylord | Pediatrics | 110 Eastwood Dr, Wallace, NC 28466-9201 | 2006-10-06 |
| 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 | ||||
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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.