Premier Care Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

021076 Issued in TN

Legal business name

PREMIER CARE PEDIATRICS

Doing business as

Nestor A. Ojeda, MD

Practice address

300 S Clydeton Rd
Waverly, TN 37185-2140

Phone

(931) 296-2737

Fax

(931) 296-1656

NPI assigned

Apr 25, 2013

Last updated

Apr 25, 2013By 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. Nestor A Ojeda, M.D.NPI 1821048521

Title

Owner

Phone

(931) 296-2737

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Nestor A. Ojeda, MD Doing business as

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDFCAA

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.

• Nestor Armando Ojeda, M.D.

  • Pediatrics Physician
  • Waverly, TN
  • NPI 1821048521
  NPD (past) Authorized official

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1801230495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371850368",
            "telephone_number": "931-296-2737",
            "fax_number": "931-296-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S CLYDETON RD",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371852140",
            "telephone_number": "931-296-2737",
            "fax_number": "931-296-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "OJEDA",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-296-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "021076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003056699",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF TN",
            "identifier": "0111969",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nestor A. Ojeda, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley Pevahouse, OTR/L
• Pharmhouse LLC (Trull Family Pharmacy)
• Pharmhouse LLC (Trull Family Pharmacy Long-Term Care)
• Phipps Pharmacy Inc (Phipps Pharmacy Waverly)
• Mary Katherine Poglitsch, PTA
• Prime Pediatrics LLP
• Tonya Michelle Reynoldson, OD
• Frances Geraldine Rich, LPC
• Michael Richardson, PHARMD
• Richland Creek Dental Group, PLLC (East Hills Dental Center - Waverly)

• Pediatrics Physician in Waverly, TN
• Providers in Waverly, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.