Pioneer Pediatrics, Pllc

LBN: Pioneer Pediatrics, Pllc
Pioneer Pediatrics, Pllc is an health care organization with primary practice located at 236 E Main St , Mcminnville TN 37110-2508. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Pioneer Pediatrics, Pllc can be contacted via phone (931) 815-5437, or through Harper, Melinda R via phone (931) 815-5437.

Contact Information

Primary practice address
236 E Main St Mcminnville TN 37110-2508
Phone: (931) 815-5437
Fax: (931) 507-5440
Website:
Map and Directions
Authorized official contact:
Name: Harper, Melinda R Pediatric Nurse Practitioner (PNP)
Phone: (931) 815-5437

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36250 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1618 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1768 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN0000012370 Tennessee

Profile Details

NPI number 1184816720
LBN Legal business name Pioneer Pediatrics, Pllc
DBA Doing business as
Authorized official Harper, Melinda R Pediatric Nurse Practitioner (PNP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2007
Last updated Aug 25th, 2011 - about 15 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 1184816720 NPPES
Other 1134121783 NPI
Other 1316949969 NPI
MEDICAID 5440223 NPI
MEDICAID 5440799 NPI
MEDICAID 5441183 NPI
Other 1225166564 NPI
Other 1336183227 NPI
MEDICAID 3878545 NPI

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