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Active NPI 1588866453 Organization (Entity Type 2)

Apache Junction Pediatrics

Pediatrics • Apache Junction, AZ

About Apache Junction Pediatrics NPI 1588866453 Summary

Apache Junction Pediatrics is a verified healthcare organization specializing in Pediatrics operating in Apache Junction, AZ. Located at 1075 S IDAHO RD, SUITE 206, this facility provides patient care and medical services under National Provider Identifier (NPI) 1588866453.

Administrative operations and authorized compliance are overseen by Janet Gradle (Certified Pediatric Nurse Practione).

The facility is associated with 8 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1075 S Idaho Rd
Suite 206

Apache Junction, AZ 852196496

Telephone 4808891234

Authorized Official Information

Authorized Contact Name

MRS. Janet Gradle , CPNP

Title / Role

Certified Pediatric Nurse Practione

Official Telephone

4808891234

Facility Classifications & Specialties

Pediatrics Primary Taxonomy

NUCC Taxonomy Code: 208000000X

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

8 Linked

Pediatrics

Apache Junction, AZ

View Practitioner Profile →
Shannon Winn , CPO NPI 1154338440

Specialist - Prosthetics Case Management

Apache Junction, AZ

View Practitioner Profile →

Physical Therapist

Apache Junction, AZ

View Practitioner Profile →
Dr. Manu Bhakoo , MD NPI 1518952373

Pediatrics

Apache Junction, AZ

View Practitioner Profile →
Evaune Winsor NPI 1548429996

Contractor

Apache Junction, AZ

View Practitioner Profile →

Physical Therapist

Apache Junction, AZ

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1075 S IDAHO RD, SUITE 206, APACHE JUNCTION, AZ 852196496 (Tel: 4808891234)

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Updated Business Mailing Address July 09, 2007

Registered at 1075 S IDAHO RD, SUITE 206, APACHE JUNCTION, AZ 852196496 (Tel: 4808891234)

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Organization / Clinic Name Updated July 09, 2007

Operating as APACHE JUNCTION PEDIATRICS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #34596 in AZ)

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Initial NPI Registration & Enumeration June 04, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1588866453
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 04, 2007
Last Update: August 22, 2020

Mailing Address

1075 S Idaho Rd, Suite 206

Apache Junction, AZ 852196496

Phone: 4808891234

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.