Provider Demographics
NPI:1336508100
Name:NATUS PELOTON INC.
Entity Type:Organization
Organization Name:NATUS PELOTON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-713-3998
Mailing Address - Street 1:PO BOX 3606
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60132-3606
Mailing Address - Country:US
Mailing Address - Phone:949-713-3998
Mailing Address - Fax:949-713-2931
Practice Address - Street 1:12301 LAKE UNDERHILL RD STE 110
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-4509
Practice Address - Country:US
Practice Address - Phone:949-713-3998
Practice Address - Fax:949-713-2931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty