Pediatric Gastroenterology, PC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

28542 Issued in AZ

Legal business name

PEDIATRIC GASTROENTEROLOGY, PC

Practice address

5295 E Knight Dr
Tucson, AZ 85712-2147

Phone

(520) 319-0313

Fax

(520) 319-0739

NPI assigned

Jul 8, 2006

Last updated

Aug 22, 2020By 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

Uwe Blecker, MD

Title

President

Phone

(520) 319-0313

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487687117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333130",
            "telephone_number": "520-722-3777",
            "fax_number": "520-296-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 E KNIGHT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122147",
            "telephone_number": "520-319-0313",
            "fax_number": "520-319-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLECKER",
        "authorized_official_first_name": "UWE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-319-0313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AZ",
            "license": "28542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Lee Peckinpaugh, HAD5930
• Sean Pecoraro, DO, MPH
• Julia Peddy, LPC
• David Andrew Pedersen, MD
• Pediatric Communication Services
• Pediatric Playhouse
• Pediatric Psychology Associates, LTD.
• Pediatric Pulmonary Associates,PC
• Pediatrics GPS, Inc
• Pedorthic Services PLLC (Foot Fitness Pedorthic Center)

• Pediatric Gastroenterology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatric Gastroenterology Physician in Arizona

• 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.