PLATEAU PEDIATRICS PLC NPI 1043285729

NPI Information

NPI: 1043285729
Provider Name: PLATEAU PEDIATRICS, PLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 44D0989235

Address:
3234 MILLER AVE
CROSSVILLE, TN
ZIP 38555
Phone: (931) 707-8700
Get Directions

PLATEAU PEDIATRICS, PLC is a rural health clinic center in Crossville, TN. PLATEAU PEDIATRICS, PLC NPI is 1043285729. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3234 MILLER AVE
CROSSVILLE, TN
ZIP 38555-116
Phone: (931) 707-8700
Fax: (931) 456-0802

The provider's authorized official is Suzanne K Berman .
The authorized official title is Physician/owner and has the following contact phone number (931) 707-8700.

The CLIA number assigned to this NPI record is 44D0989235 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 4/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	261QR1300X	Clinic/Center	Rural Health	3899812	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »