Pediatrics
COMMUNITY PEDIATRICS SC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1275749566 · enumerated 2007-05-15 · record updated 2010-04-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. DOROTHY LARSON, Account Manager · (920) 885-3305
Addresses and phones
- Mailing address 109 WARREN ST STE 4, BEAVER DAM, WI, 53916-3082 (920) 885-3305 Fax (920) 885-5506 Google Maps Apple Maps OpenStreetMap
- Practice location 109 WARREN ST STE 4, BEAVER DAM, WI, 53916-3082 (920) 885-3305 Fax (920) 885-5506 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X
- Pediatrics 208000000X · Primary
In this directory
Locations and evidence
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Practice location
BEAVER DAM, WI, 539163082
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.