North Star Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

NORTH STAR PEDIATRICS, P.C.

Practice address

9756 Lantern Rd
Fishers, IN 46037-9612

Phone

(317) 585-7827

Fax

(317) 585-7837

NPI assigned

Nov 1, 2005

Last updated

Aug 20, 2008By 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

Dr. Kristen Wielandt Gollnick, M.D.

Title

Co-Owner/

Phone

(317) 585-7827

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1326039165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9756 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379612",
            "telephone_number": "317-585-7827",
            "fax_number": "317-585-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9756 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379612",
            "telephone_number": "317-585-7827",
            "fax_number": "317-585-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "GOLLNICK",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "WIELANDT",
        "authorized_official_title_or_position": "CO-OWNER/",
        "authorized_official_telephone_number": "317-585-7827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Fishers, IN
• Providers in Fishers, IN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.