Pedstat

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PEDSTAT

Practice address

3919 W Jefferson Blvd
Suite 2
Fort Wayne, IN 46804-6811

Phone

(260) 436-7722

Fax

(260) 459-0012

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Giridhar Rao Veerula, M.D.

Title

Owner

Phone

(260) 436-7722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1265519185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 W JEFFERSON BLVD",
            "address_2": "SUITE 2",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046811",
            "telephone_number": "260-436-7722",
            "fax_number": "260-459-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 W JEFFERSON BLVD",
            "address_2": "SUITE 2",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046811",
            "telephone_number": "260-436-7722",
            "fax_number": "260-459-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDSTAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "VEERULA",
        "authorized_official_first_name": "GIRIDHAR",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-436-7722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Links,LLC
• Pediatric Nursing Specialists of Indiana, Inc.
• Pediatric Pulmonary & Critical Care, PC
• Pediatric Specialty Physicians, PC
• Pediatrics Center of Fort Wayne, P.C.
• Kari Peeper
• Alexis Peeples
• Erin Elise Peer, NP-C
• Adrienne Michelle Peery, NP
• William Ross Peery II, MD

• Urgent Care Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.