Active NPI
Hebron Pediatrics LLC
- Pediatric Adolescent Medicine Physician
- Evansville, IN
National Provider Identifier
1710191747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- Legal business name
- HEBRON PEDIATRICS LLC
- Practice address
- 7220 E Virginia St
Evansville, IN 47715-4068 - Phone
- (812) 473-8986
- NPI assigned
- May 9, 2007
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Lamont
- Title
- Office Administrator
- Phone
- (812) 402-9171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | IN | Primary |
Addresses
Primary practice location
7220 E Virginia St
Evansville, IN 47715-4068
Mailing address
7220 E Virginia St
Evansville, IN 47715-4068
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1710191747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 E VIRGINIA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 E VIRGINIA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154068",
"telephone_number": "812-473-8986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEBRON PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LAMONT",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "812-402-9171"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.