Organization Active NPI

Pediatric Medical Urgent Care Services PLLC

  • Pediatrics Physician
  • Murfreesboro, TN
National Provider Identifier
1871112375
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Apr 14, 2020

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2183804Pediatric Medical Urgent Care2249 Medical Center Parkway Suite C & D, Murfreesboro, TN 37129Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.