NPIMap

Organization Active NPI

Kidd Pediatrics

  • Pediatrics Physician
  • Greenwood, IN
National Provider Identifier
1336198993
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDD PEDIATRICS
Practice address
373 Meridian Parke LN
Suite C-1
Greenwood, IN 46142-9419
Phone
(317) 882-0136
Fax
(317) 882-3123
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Dr. Baron L. Kidd, M.D.NPI 1760431423
Title
Doctor/Owner
Phone
(317) 882-0136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

373 Meridian Parke LN
Suite C-1
Greenwood, IN 46142-9419

Mailing address

373 Meridian Parke LN
Suite C-1
Greenwood, IN 46142-9419
Phone (317) 882-0136

Other identifiers 1

IdentifierTypeStateIssuer
200325060AMedicaidIN

National Provider Directory

National Provider Directory

Locations

373 Meridian Parke Ln
Ste C1
Greenwood, IN 46142
Phone (317) 882-0136

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1336198993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 MERIDIAN PARKE LN",
            "address_2": "SUITE C-1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429419",
            "telephone_number": "317-882-0136",
            "fax_number": "317-882-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 MERIDIAN PARKE LN",
            "address_2": "SUITE C-1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429419",
            "telephone_number": "317-882-0136",
            "fax_number": "317-882-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "BARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "317-882-0136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200325060A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.