Pediatric Medical Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12191 Issued in AZ

Legal business name

PEDIATRIC MEDICAL ASSOCIATES

Practice address

4824 E Baseline Rd BLDG 3
Suite 125
Mesa, AZ 85206-4676

Phone

(480) 839-4848

Fax

(480) 833-8310

NPI assigned

Jul 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Louis Iorio, M.D.

Title

President

Phone

(602) 228-3986

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216425600000",
    "number": "1972768968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD BLDG 3",
            "address_2": "SUITE 125",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064676",
            "telephone_number": "480-839-4848",
            "fax_number": "480-833-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD BLDG 3",
            "address_2": "SUITE 125",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064676",
            "telephone_number": "480-839-4848",
            "fax_number": "480-833-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-19",
        "last_updated": "2008-07-19",
        "status": "A",
        "authorized_official_last_name": "IORIO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-228-3986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "12191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie A. Pechkurow, PC
• Svetlana Pedenko, M.D.
• Amber Pedersen
• Kailey M Pedersen, MT-BC
• Alexis Marie Pederson
• Diane Pedretti, LPC
• Katelyn Peek, DPT
• Hanna J Peeples, CCC-SLP
• Peer Outreach, Recovery & Reentry Services
• Shelby Peerboom

• Pediatrics Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.