| NPI | 1316338858 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-02-05 |
| Last Updated | 2015-02-05 |
| Authorized Official | Kaneez Agha Ownter Phone: 3219535364 |
| Mailing Address | 199 S Wickham Rd Melbourne, FL 32904-1131 United States Phone: (321) 953-5364 | Fax: (321) 953-9975 📍 View Map |
| Primary Practice Address | 199 S Wickham Rd Melbourne, FL 32904-1131 United States Phone: (321) 953-5364 | Fax: (321) 953-9975 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 250730700 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | FL | ME70871 |
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About NPI 1316338858
Wickham Pediatrics Center Ps is an organization registered in the CMS NPPES NPI Registry with NPI number 1316338858. The primary specialty listed is Pediatrics. The organization is located in Melbourne, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-02-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316338858?
NPI 1316338858 belongs to Wickham Pediatrics Center Ps, a Pediatrics in Melbourne, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316338858 active?
The current status of NPI 1316338858 in the NPPES registry is Active. The record was last updated on 2015-02-05.
What specialty is NPI 1316338858?
NPI 1316338858 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316338858?
You can verify NPI 1316338858 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316338858?
The primary practice address on file for NPI 1316338858 is 199 S Wickham Rd, Melbourne, FL 32904-1131. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316338858 issued?
NPI 1316338858 was first issued (enumerated) on 2015-02-05. The NPPES record was last updated on 2015-02-05.
Practice Location Map
Wickham Pediatrics Center Ps is located at 199 S Wickham Rd, Melbourne, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Wickham Pediatrics Center Ps. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1316338858. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | ME70871 | FL |