Active NPI
Pediatric Medical Urgent Care Services PLLC
- Pediatrics Physician
- Murfreesboro, TN
National Provider Identifier
1871112375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC MEDICAL URGENT CARE SERVICES PLLC
- Practice address
- 2249 Medical Center Pkwy Ste C&D
Murfreesboro, TN 37129-4279 - Phone
- (629) 219-2767
- Fax
- (629) 219-2768
- NPI assigned
- Apr 14, 2020
- 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
- Keith Tolar, MD
- Title
- Medical Director
- Phone
- (516) 207-7840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2249 Medical Center Pkwy Ste C&D
Murfreesboro, TN 37129-4279
Mailing address
1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Phone (718) 747-5437
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2183804 | Pediatric Medical Urgent Care | Certificate of waiver | May 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
2249 Medical Center Pkwy
Ste C
Murfreesboro, TN 37129
Phone (629) 219-2767
2249 Medical Center Pkwy
Ste Cd
Murfreesboro, TN 37129
Phone (629) 219-2767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Murfreesboro, TN
- NPI 1659617686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586822400000",
"number": "1871112375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOLLOW LN STE 301",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421215",
"telephone_number": "718-747-5437",
"fax_number": "516-678-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 MEDICAL CENTER PKWY STE C&D",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371294279",
"telephone_number": "629-219-2767",
"fax_number": "629-219-2768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC MEDICAL URGENT CARE SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-14",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A",
"authorized_official_last_name": "TOLAR",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "516-207-7840",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.