Pediatric Partners,P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0517101 Issued in KS

Legal business name

PEDIATRIC PARTNERS,P.A.

Practice address

7301 W 133Rd St
Suite 102
Overland Park, KS 66213-4750

Phone

(913) 888-4567

Fax

(913) 888-1277

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer R Mellick, M.D.

Title

Ceo

Phone

(913) 888-4567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1609946383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W 133RD ST",
            "address_2": "SUITE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134750",
            "telephone_number": "913-888-4567",
            "fax_number": "913-888-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W 133RD ST",
            "address_2": "SUITE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134750",
            "telephone_number": "913-888-4567",
            "fax_number": "913-888-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "MELLICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-888-4567",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0517101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.