Wyoming Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

AC6919471 Issued in PA

Legal business name

WYOMING PEDIATRICS

Practice address

1331 E Wyoming Ave
Phila, PA 19124-3808

Phone

(215) 743-4326

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stewart Cooler, MD

Title

Co Owner

Phone

(215) 743-4326

Specialties & licenses 1

Addresses

Tax ID family

Kidsmed LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kidsmed LLC

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1588607774
  NPD tax ID

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1508922055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E WYOMING AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191243808",
            "telephone_number": "215-743-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E WYOMING AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191243808",
            "telephone_number": "215-743-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "COOLER",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "215-743-4326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "AC6919471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeniffer K Woo, B.A.
• Deborah Woolf
• Work Injury RX One LLC
• Rodneah Wright
• Terrell M Wright, B.S.
• Yale Program
• Nikhat Yasmeen, M.D.
• Kem Yenal, MD
• Harvey Yorker, DO
• Janet E Young, MD

• Pediatrics Physician in Phila, PA
• Providers in Phila, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.