Abc Pediatrics LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

5966A Issued in WY

Legal business name

ABC PEDIATRICS LLC

Practice address

1300 W 4TH St
Gillette, WY 82716-3339

Phone

(307) 686-4900

Fax

(307) 682-3466

NPI assigned

Jun 28, 2007

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

Dr. Linda Kamil Abujaber Ammari, MDNPI 1124190277

Title

Doctor Owner

Phone

(307) 686-4900

Specialties & licenses 1

Addresses

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.

• Linda Kamil Abujaber-Ammari, MD

  • Pediatrics Physician
  • Gillette, WY
  • NPI 1124190277
  NPD (past) Authorized official

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508063991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 4TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163339",
            "telephone_number": "307-686-4900",
            "fax_number": "307-682-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 4TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163339",
            "telephone_number": "307-686-4900",
            "fax_number": "307-682-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABUJABER AMMARI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAMIL",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "307-686-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WY",
            "license": "5966A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rural Health Clinic/Center in Gillette, WY
• Providers in Gillette, WY by specialty
• Rural Health Clinic/Center in Wyoming

• 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.