Loudon Pediatric Clinic PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12939 Issued in TN

Legal business name

LOUDON PEDIATRIC CLINIC PC

Practice address

616 Ward Ave
Loudon, TN 37774-1323

Phone

(865) 458-5666

Fax

(865) 458-9906

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Perry Guider, M.D.NPI 1144218942

Title

President

Phone

(865) 458-5666

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• James Perry Guider, M.D.

  • Pediatrics Physician
  • Loudon, TN
  • NPI 1144218942
  NPD (past) Authorized official
• Marc Vincent Courts, M.D.

  • Pediatrics Physician
  • Loudon, TN
  • NPI 1609086214
  NPD (past)
• Kendall Evone Memory, NP

  • Pediatric Nurse Practitioner
  • Knoxville, TN
  • NPI 1487167656
  NPD (past)
• Calvin Robert Schaerer Jr., M.D.

  • Pediatrics Physician
  • Loudon, TN
  • NPI 1427046234
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1356508188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 WARD AVE",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741323",
            "telephone_number": "865-458-5666",
            "fax_number": "865-458-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 WARD AVE",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741323",
            "telephone_number": "865-458-5666",
            "fax_number": "865-458-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDON PEDIATRIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "GUIDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-458-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "12939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503978",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Live Again Recovery Centers
• Jennifer Lobb, PT, DPT
• Loudon Dental Arts PLLC
• Loudon Dental Arts, PLLC
• Loudon Opco LLC
• Vanessa Lowe, C.N.A.
• Merri Loy, RPH
• Olga Lutsyk, DO
• Matthew Magee, PT
• John Samuel Marcy, M.D.

• Pediatrics Physician in Loudon, TN
• Providers in Loudon, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.