Foundations Pediatric Clinic

Pediatrics Physician · Glendale, AZ

Organization Active NPI

NPI number 1558085498

Practice location

5400 W Northern Ave Ste 101
Glendale, AZ 85301-1590
Phone
(480) 847-0900
Fax
(480) 508-7815

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NPI record

NPI
1558085498
Entity type
Organization (Type 2)
Enumeration date
October 3, 2022
Last updated
November 7, 2023
Certified
November 7, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X — —

Mailing address

1755 N Pebble Creek Pkwy
PMB1058
Goodyear, AZ 85395-2532
Phone
(480) 847-0900
Fax
(480) 508-7815

Authorized official

Name
Dr. Nailah Cooper, MD
Title
Member Manager
Phone
(480) 847-0900

About Foundations Pediatric Clinic

Foundations Pediatric Clinic is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 5400 W Northern Ave Ste 101, Glendale, AZ 85301-1590. The NPI number 1558085498 was assigned on October 3, 2022 and the record was last updated on November 7, 2023.

The authorized official for this organization is Dr. Nailah Cooper, MD, Member Manager.

Frequently asked questions

What is the NPI number of Foundations Pediatric Clinic?

The NPI number is 1558085498.

What is the phone number of Foundations Pediatric Clinic?

The phone number listed for the practice location is (480) 847-0900.

Where is Foundations Pediatric Clinic located?

5400 W Northern Ave Ste 101, Glendale, AZ 85301-1590.

What is the taxonomy code for Foundations Pediatric Clinic?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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