Pediatric Health Services PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

A-569-71 Issued in NM

Legal business name

PEDIATRIC HEALTH SERVICES PC

Practice address

10110 Spain Rd NE
Albuquerque, NM 87111-1965

Phone

(505) 294-5065

Fax

(505) 298-2731

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Leslie Sumner

Title

VP

Phone

(505) 294-5065

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frances R Smith, CPNP

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1548489909
  NPD (past)
• Vanita Sood, M.D.

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1275671893
  NPD (past)
• Wendell Weston Sumner, D.O.

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1295733467
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1720109358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111965",
            "telephone_number": "505-294-5065",
            "fax_number": "505-298-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111965",
            "telephone_number": "505-294-5065",
            "fax_number": "505-298-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "505-294-5065"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NM",
            "license": "A-569-71",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric and Special Care Dentistry
• Pediatric Associates
• Pediatric Associates, PA
• Pediatric Cardiology Associates of New Mexico PC
• Pediatric Dental Associates of NM PC
• Pediatric Speech Services of Albuquerque
• Pediatric Therapy Inc.
• Pediatrix Cardiology of New Mexico, P.C.
• Pediatrix Medical Group of New Mexico, P.C.
• Elise Nicole Pedigo, PA-C

• Pediatric Adolescent Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatric Adolescent Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.