NPIMap

Organization Active NPI

Healthone Clinic Services - Pediatric Specialties LLC

  • Pediatric Surgery Physician
  • Grand Junction, CO
National Provider Identifier
1003679424
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Practice address
2635 N 7TH St Ste 405
Grand Junction, CO 81501-8209
Phone
(303) 839-6001
NPI assigned
Jan 31, 2024
Organization subpart
Yes
Parent organization
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicholas F Wadlington
Title
Vice President
Phone
(972) 401-9807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0120X Primary

Addresses

Primary practice location

2635 N 7TH St Ste 405
Grand Junction, CO 81501-8209

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

National Provider Directory

National Provider Directory
Tax ID family
Healthone Clinic Services -73 organizations share this tax ID, including this one
Part of
Healthone Clinic Services -

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2635 N 7th St
Ste 405
Grand Junction, CO 81501

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1003679424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 N 7TH ST STE 405",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018209",
            "telephone_number": "303-839-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "WADLINGTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "972-401-9807"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.