Springfield Pediatrics

LBN: Springfield Medical Llc
Springfield Pediatrics is an health care organization with primary practice located at 36351 N Gantzel Rd Ste 127 , San Tan Valley AZ 85140-7329. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Springfield Medical Llc can be contacted via phone (602) 734-5509, or through Vaughan, Oladiji G via phone (602) 734-5509.

Contact Information

Primary practice address
36351 N Gantzel Rd Ste 127 San Tan Valley AZ 85140-7329
Phone: (602) 734-5509
Fax: (877) 281-3385
Website:
Map and Directions
Authorized official contact:
Name: Vaughan, Oladiji G Doctor of Medicine (MD)
Phone: (602) 734-5509

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40162 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 40162 Arizona

Profile Details

NPI number 1093019150
LBN Legal business name Springfield Medical Llc
DBA Doing business as Springfield Pediatrics
Authorized official Vaughan, Oladiji G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2011
Last updated Jul 25th, 2023 - about 2 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 1093019150 NPPES
Arizona MEDICAID 358032
Arizona MEDICAID 584197

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