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Contact Information

PEDIATRICS AND ADOLESCENT MEDICINE, P.C.
2940 INGERSOLL AVENUE
DES MOINES, IA50312-4015
 Phone: 515-244-1444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRICS AND ADOLESCENT MEDICINE, P.C.

NPI Number 1134259427
LBN Legal business name PEDIATRICS AND ADOLESCENT MEDICINE, P.C.
Authorized official FREDERICK ALDRICH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
IA License # 00062
IA License # 20027
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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