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FRONT PORCH PEDIATRICS PLLC NPI 1861779704


NPI Information

NPI: 1861779704
Provider Name: FRONT PORCH PEDIATRICS, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 44D2032801

Address:
6847 MOUNTAIN VIEW ROAD
OOLTEWAH, TN
ZIP 37363
Phone: (423) 910-1289
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FRONT PORCH PEDIATRICS, PLLC is a pediatrics in Ooltewah, TN. The provider is 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. FRONT PORCH PEDIATRICS, PLLC NPI is 1861779704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6847 MOUNTAIN VIEW ROAD
OOLTEWAH, TN
ZIP 37363
Phone: (423) 910-1289
Fax: (423) 910-1260

The provider's authorized official is Katherine Mui Tun .
The authorized official title is President and has the following contact phone number (423) 910-1289.

The CLIA number assigned to this NPI record is 44D2032801 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/7/2011 and was last updated on 11/7/2011.


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
1208000000XPediatricsYes

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

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