Pediatric Partners,P.C.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD025637E Issued in PA

Legal business name

PEDIATRIC PARTNERS,P.C.

Practice address

1575 Highlands Dr
Suite 204
Lititz, PA 17543-7507

Phone

(717) 627-1133

Fax

(717) 627-3762

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth David Fleming, MD

Title

Owner

Phone

(717) 627-1133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073639258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR",
            "address_2": "SUITE 204",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-627-1133",
            "fax_number": "717-627-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HIGHLANDS DR",
            "address_2": "SUITE 204",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437507",
            "telephone_number": "717-627-1133",
            "fax_number": "717-627-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-627-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD025637E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Patel
• Nehal Dhirendra Patel, M.D.
• Sunil P Patel, M.D.
• Melissa Paulin, SENIOR PAYER ENROLLM
• Jennifer M Payne, MD
• Pediatrix Medical Group of Pennsylvania, P.C.
• Pediatrix Medical Group of Pennsylvania, P.C.
• Jenna Pendleton, OTR/L
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy # 02297)
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #17569)

• Pediatric Adolescent Medicine Physician in Lititz, PA
• Providers in Lititz, PA by specialty
• Pediatric Adolescent Medicine Physician in Pennsylvania

• 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.