Mountain View Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2242461 Issued in NY

Legal business name

MOUNTAIN VIEW PEDIATRICS PLLC

Practice address

159 Margaret Street
Suite 100
Plattsburgh, NY 12901

Phone

(518) 324-2040

Fax

(518) 324-2041

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi Jill Moore, MD

Title

Owner MD

Phone

(518) 324-2040

Specialties & licenses 5

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013003359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MARGARET STREET",
            "address_2": "SUITE 100",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-324-2040",
            "fax_number": "518-324-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MARGARET STREET",
            "address_2": "SUITE 100",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-324-2040",
            "fax_number": "518-324-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "518-324-2040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "2239121",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "2242461",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "0031261",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "2241781",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": "2328181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02743295",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Althea Louise Morrison, MD
• Stephen William Morrison, RN
• Arelene Morrissey, LMHC
• Joshua John Morrow, LMHC
• Rebecca Morrow
• Mark L Mudano, M.D.
• Lina Tamara Muhtadie, M.D.
• Jonathan Gregory Mulholland, DC
• Nat Mulkey, MD
• Sara Munson, RPH

• Pediatrics Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.