# 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:** 1952275455
- **Legal business name:** HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
- **Authorized official:** THOMAS FENDER (VICE PRESIDENT)
- **Authorized official phone:** (303) 584-8111

## Contact information

- **Practice address:** 940 E 3RD ST STE 201, CASPER, WY 82601-3251
- **Practice address phone:** (303) 832-2344
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
- **Mailing address phone:** (303) 832-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2025
- **Last updated:** 09/30/2025