Organization Active NPI

Millington Pediatrics, PC

  • Neonatal-Perinatal Medicine Physician
  • Millington, TN
National Provider Identifier
1457590192
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
40393 Issued in TN
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

Updated by the provider on Feb 19, 2009

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)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
466407OtherTNBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.