Pediatric Specialty Care, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC SPECIALTY CARE, LLC

Practice address

1346 Lindberg Dr
Suite 7
Slidell, LA 70458-8081

Phone

(985) 646-1580

NPI assigned

Mar 21, 2013

Last updated

Mar 21, 2013By 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

Eduardo J Hernandez, MD

Title

Ceo

Phone

(985) 646-1580

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Lynne Drake, M.D.

  • Pediatrics Physician
  • Walker, LA
  • NPI 1174783344
  NPD (past)
• Jessica Turner Stewart, MD

  • Pediatrics Physician
  • Slidell, LA
  • NPI 1003924978
  NPD (past)

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1184966798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 LINDBERG DR",
            "address_2": "SUITE 7",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588081",
            "telephone_number": "985-646-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 LINDBERG DR",
            "address_2": "SUITE 7",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588081",
            "telephone_number": "985-646-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPECIALTY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-646-1580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Love Wellness Health System
• Pearl Acres Pediatrics LLC
• Kimberly Peart-Byrd, LCSW
• Jonathan Paul Pecoraro, DPT
• Kristina Dianne Pedescleaux I
• Joseph A Pedone, MD
• Pedro a Serrant MD LLC
• Pelican Physician Services, LLC
• Pelican State Physical Therapy Limited Partnership
• Pelican State Physical Therapy Limited Partnership (Audubon Physical Therapy)

• Pediatrics Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.