Apache Junction Pediatrics
NPI 1588866453ActiveOrganization· Pediatrics· Apache Junction, AZ
Pediatrics in Apache Junction, Arizona, registered in NPPES in June 2007. The authorized official on file is Janet Gradle, CPNP, Certified Pediatric Nurse Practione.
Overview
| NPI | 1588866453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | AP0241 | AZ |
| Pediatrics | 208000000X | 34596 | AZ |
| Pediatrics | 208000000X | 27900 | AZ |
| Pediatrics | 208000000X | 34587 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pediatrics providers in Apache Junction
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- 1518952373
- 1013999226