| NPI | 1063110880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ASHFORD Assistant Secretary 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Additional Taxonomies | 2080P0208X Pediatrics Pediatric Infectious Diseases |
| 2080P0214X Pediatrics Pediatric Pulmonology | |
| 2086S0120X Surgery Pediatric Surgery | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LW0102X Nurse Practitioner Women's Health | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine | |
| 2080P0206X Pediatrics Pediatric Gastroenterology | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2025-08-05 |