Provider Demographics
NPI:1891426441
Name:QS PEDS MED LLC
Entity Type:Organization
Organization Name:QS PEDS MED LLC
Other - Org Name:CARE PLUS PEDIATRIC URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER - MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PESPISA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:339-234-0411
Mailing Address - Street 1:19068 15TH AVENUE NORTH
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208
Mailing Address - Country:US
Mailing Address - Phone:339-234-0411
Mailing Address - Fax:
Practice Address - Street 1:9480 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2712
Practice Address - Country:US
Practice Address - Phone:405-876-7876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty