South Dayton Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOUTH DAYTON PEDIATRICS

Practice address

540 Lincoln Park Blvd
Suite 390
Kettering, OH 45429

Phone

(937) 296-1126

Fax

(937) 296-1728

NPI assigned

Mar 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sylvia Parks, M.D.NPI 1760746192

Title

Physician/Owner

Phone

(937) 296-1126

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sylvia Vanna Parks, M.D.

  • Pediatrics Physician
  • Kettering, OH
  • NPI 1760746192
  NPD (past) Authorized official
• William J Booth, PA-C

  • Medical Physician Assistant
  • Kettering, OH
  • NPI 1386896710
  NPD (past)
• Azar Kardan, MD

  • Pediatrics Physician
  • Dayton, OH
  • NPI 1932192721
  NPD (past)
• Jessica Marie Sanchez, APRN

  • Family Nurse Practitioner
  • Dayton, OH
  • NPI 1336641711
  NPD (past)
• Alysse Waid, NP

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1770309015
  NPD (past)
• Suzanne K Williams-White, M.D.

  • Pediatrics Physician
  • Dayton, OH
  • NPI 1255490702
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1033243993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LINCOLN PARK BLVD",
            "address_2": "SUITE 390",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-296-1126",
            "fax_number": "937-296-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LINCOLN PARK BLVD",
            "address_2": "SUITE 390",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-296-1126",
            "fax_number": "937-296-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DAYTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "937-296-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2312661",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krizzia Krizzel Soriano, FNP
• Kira Star Soto
• South Community
• South Dayton Hearing AIDS & Audiology, LLC
• South Dayton Internist, Inc.
• South Dayton Surgeons Inc
• South Dayton Urological Associates
• Kelly South
• Southmoor Medical Associates
• Southwest Cardiology Inc

• Pediatrics Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.