Robert John Kadijevic, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

200401082 Issued in NC

Practice address

1328 Patterson Street
Union Pediatrics
Monroe, NC 28112

Phone

(704) 283-2000

Fax

(704) 225-0885

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1346269263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 CHURCHILL DOWNS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736577",
            "telephone_number": "704-968-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 PATTERSON STREET",
            "address_2": "UNION PEDIATRICS",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28112",
            "telephone_number": "704-283-2000",
            "fax_number": "704-225-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIJEVIC",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200401082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "140J8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901516",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01082",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Lashemia Jones
• Tonya Sue Josey, MSW, LCSW. CSOTS
• Marcelette Joyner, LCSW
• JRC Mental Health Service LLC
• K. Jasinski, D.M.D., P.C.
• Kaligray Corp Inc
• Carolyn Kallgren
• David Eugene Kang, M.D.
• Ljiljana Karan, DMD
• Ashley Breanne Karow, MED., NCC

• Pediatrics Physician in Monroe, NC
• Providers in Monroe, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.