# HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215654306
- **Legal business name:** HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
- **Authorized official:** WILLIAM M SMITHAM (VICE PRESIDENT)
- **Authorized official phone:** (303) 584-8119

## Contact information

- **Practice address:** 180 S FRONTAGE RD W, VAIL, CO 81657-5038
- **Practice address phone:** (970) 479-7264
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
- **Mailing address phone:** (615) 372-5426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2022
- **Last updated:** 10/20/2022