Siskin Center For Developmental Pediatrics

LBN: Mose And Garrison Siskin Memorial Foundation, Inc.
Siskin Center For Developmental Pediatrics is an health care organization with primary practice located at 1101 Carter St , Chattanooga TN 37402-5017. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Other Service Providers / Specialist is the primary health care specialty. Mose And Garrison Siskin Memorial Foundation, Inc. can be contacted via phone (423) 490-7710, or through Cooper-Wilkes, Stephanie via phone (423) 490-7727.

Contact Information

Primary practice address
1101 Carter St Chattanooga TN 37402-5017
Phone: (423) 490-7710
Fax: (423) 490-7750
Website:
Map and Directions
Authorized official contact:
Name: Cooper-Wilkes, Stephanie
Phone: (423) 490-7727

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1902132509
LBN Legal business name Mose And Garrison Siskin Memorial Foundation, Inc.
DBA Doing business as Siskin Center For Developmental Pediatrics
Authorized official Cooper-Wilkes, Stephanie
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 2nd, 2009
Last updated Oct 25th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902132509 NPPES
Georgia MEDICAID 003136978A
Georgia MEDICAID 1527698

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