NPIMap

Organization Active NPI

Pediatric Associates,PC

  • Pediatrics Physician
  • Memphis, TN
National Provider Identifier
1699947432
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD0000003881 Issued in TN
Legal business name
PEDIATRIC ASSOCIATES,PC
Practice address
3876 New Covington Pike
Memphis, TN 38128-2512
Phone
(901) 377-2711
Fax
(901) 387-2036
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
John Vincent Pender, M.D.
Title
Director
Phone
(901) 377-2711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD0000003881 TN Primary

Addresses

Primary practice location

3876 New Covington Pike
Memphis, TN 38128-2512

Mailing address

3876 New Covington Pike
Memphis, TN 38128-2512
Phone (901) 377-2711

National Provider Directory

National Provider Directory

Locations

3876 New Covington Pike
Memphis, TN 38128
Phone (901) 377-2711

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1699947432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282512",
            "telephone_number": "901-377-2711",
            "fax_number": "901-387-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282512",
            "telephone_number": "901-377-2711",
            "fax_number": "901-387-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "PENDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-377-2711",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000003881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.