Active NPI
Millington Pediatrics, PC
- Neonatal-Perinatal Medicine Physician
- Millington, TN
National Provider Identifier
1457590192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 40393
- Legal business name
- MILLINGTON PEDIATRICS, PC
- Practice address
- 8222 US Highway 51 N
Millington, TN 38053-1708 - Phone
- (901) 873-0700
- Fax
- (901) 873-0711
- NPI assigned
- Feb 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abubaker M Naida, M.D.
- Title
- Owner
- Phone
- (901) 873-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 40393 | TN | Primary |
Addresses
Primary practice location
8222 US Highway 51 N
Millington, TN 38053-1708
Mailing address
8222 US Highway 51 N
Millington, TN 38053-1708
Phone (901) 873-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466407 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryLocations
8222 US Highway 51 N
Millington, TN 38053
Phone (901) 873-0700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235001600000",
"number": "1457590192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8222 US HIGHWAY 51 N",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380531708",
"telephone_number": "901-873-0700",
"fax_number": "901-873-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8222 US HIGHWAY 51 N",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380531708",
"telephone_number": "901-873-0700",
"fax_number": "901-873-0711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLINGTON PEDIATRICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-19",
"last_updated": "2009-02-19",
"status": "A",
"authorized_official_last_name": "NAIDA",
"authorized_official_first_name": "ABUBAKER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-873-0700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TN",
"license": "40393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "466407",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.