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Ponderosa Pediatricss Plc

Pediatrics Physician in Prescott, AZ · enumerated 2007 · authorized official Deann Harguess, Credentialing Billing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124243688

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Registry record

Entity type Organization (Type 2)
Legal business name Ponderosa Pediatricss Plc
Practice address 2120 Centerpointe West Drive, Prescott, AZ, 86301
Phone (928) 443-1111
Fax (928) 443-5554
Enumeration date Apr 17, 2007
Last updated in NPPES May 15, 2008

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Deann Harguess
Title Credentialing Billing
Phone (928) 443-1111

Other identifiers

Identifier Type State Issuer
1912976879 Other AZ INDIVIDUAL NPI
1144299090 Other AZ INDIVIDUAL NPI
1144299678 Other AZ INDIVIDUAL NPI
1336118926 Other AZ INDIVIDUAL NPI
1629047097 Other AZ INDIVIDUAL NPI
1881653558 Other AZ INDIVIDUAL NPI
1326169657 Other AZ INDIVIDUAL NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Ponderosa Pediatricss Plc?
Ponderosa Pediatricss Plc is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-15.