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MED-PEDS MANAGEMENT LLC NPI 1053450296


NPI Information

NPI: 1053450296
Provider Name: MED-PEDS MANAGEMENT LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
191 JOHNSON ST NE
ABINGDON, VA
ZIP 24210
Phone: (276) 623-8105
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MED-PEDS MANAGEMENT LLC is an internal medicine in Abingdon, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MED-PEDS MANAGEMENT LLC NPI is 1053450296. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

191 JOHNSON ST NE
ABINGDON, VA
ZIP 24210-934
Phone: (276) 623-8105
Fax: (276) 623-8109

The provider's authorized official is Susan Janet Mole .
The authorized official title is Practice Mgr Corp. Secretary and has the following contact phone number (276) 623-8105.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 11/1/2010.


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
1207R00000XInternal Medicine0101225410VIRGINIANo
2208000000XPediatrics0101051074VIRGINIANo
3208000000XPediatrics0101059370VIRGINIANo
4208000000XPediatrics0101050628VIRGINIANo
5208000000XPediatrics0101028204VIRGINIANo
6363LF0000XNurse PractitionerFamily0024059099VIRGINIANo
7363LF0000XNurse PractitionerFamily0024166814VIRGINIANo
8207R00000XInternal Medicine0101051200VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CE1796MEDICARE PINVIRGINIA
2C05361MEDICARE PINVIRGINIA

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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