Pediatric & Internal Medicine Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

50000450A Issued in IN

Legal business name

PEDIATRIC & INTERNAL MEDICINE CENTER

Practice address

1434 Chester Blvd
Richmond, IN 47374-1947

Phone

(765) 966-5527

Fax

(765) 966-5527

NPI assigned

Jul 4, 2006

Last updated

Apr 23, 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

Pamela Cawood

Title

Practice Administrator

Phone

(765) 966-5527

Specialties & licenses 2

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick R Anderson, M.D.

  • Internal Medicine Physician
  • Richmond, IN
  • NPI 1508896960
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1386674513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741947",
            "telephone_number": "765-966-5527",
            "fax_number": "765-966-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741947",
            "telephone_number": "765-966-5527",
            "fax_number": "765-966-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & INTERNAL MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "CAWOOD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "765-966-5527"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "50000450A",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "50000450A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CI9605",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121808",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255760A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "15D0360467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlee Pax, RDN, LD
• Alaina Rose Paxton, RBT
• Karrie Jane Payne
• Lynelle E Payne, APN
• Kathryn Pearson
• Natalie Pegg
• Haylee Pennington
• Scott Pennington, M.D.
• Thomas Pennington, MBA, LCAC, CADAC
• Chad Andrew Pentecost, R.PH.

• Internal Medicine Physician in Richmond, IN
• Providers in Richmond, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.