Pediatric Associates, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES, PA

Practice address

3410 Indian School Rd NE
Albuquerque, NM 87106

Phone

(505) 265-7817

Fax

(505) 266-1543

NPI assigned

Nov 1, 2006

Last updated

Jun 15, 2011By 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. Gretchen Elaine Seelinger, M.D.NPI 1285631226

Title

Owner

Phone

(505) 265-7817

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pediatric Associates2 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.

• Pediatric Associates

  • Specialist
  • Albuquerque, NM
  • NPI 1851848899
  NPD tax ID

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.

• Gretchen Elaine Seelinger, M.D.

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1285631226
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1578640371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 INDIAN SCHOOL RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-265-7817",
            "fax_number": "505-266-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 INDIAN SCHOOL RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-265-7817",
            "fax_number": "505-266-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "SEELINGER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-265-7817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48561",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Pecotte, RN
• Perry Pedersen, RPH
• John R Pederson, MD
• Pediatric and Special Care Dentistry
• Pediatric Associates
• Pediatric Cardiology Associates of New Mexico PC
• Pediatric Dental Associates of NM PC (smiles for kids)
• Pediatric Health Services PC
• Pediatric Speech Services of Albuquerque
• Pediatric Therapy Inc.

• Pediatrics Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.