Park Place Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PARK PLACE PEDIATRICS, LLC

Practice address

2070 W Arlington Blvd Ste B
Greenville, NC 27834-3769

Phone

(252) 695-6195

Fax

(252) 695-9098

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Blair, MD

Title

President

Phone

(252) 695-6195

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477570026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 W ARLINGTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343769",
            "telephone_number": "252-695-6195",
            "fax_number": "252-695-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 W ARLINGTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343769",
            "telephone_number": "252-695-6195",
            "fax_number": "252-695-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-695-6195",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nihar Parikh, DO
• Sapneil S Parikh, DDS
• Ruth Sparrow Parish, RPH
• Tracy Lynn Parisher, PT
• Vojtech Parizek
• William Michael Park, M.D.
• Wonjae Park, DO
• Jennifer Lynne Parker Cote, M.D.
• Calvin L Parker
• Candace Janelle Parker, LCSW-A

• Pediatrics Physician in Greenville, NC
• Providers in Greenville, 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 Aug 22, 2020; 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.