Organization Active NPI

Children'S Healthcare Center

  • Pediatrics Physician
  • Austintown, OH
National Provider Identifier
1073628756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S HEALTHCARE CENTER
Practice address
25 N Canfield Niles Rd
Suite 160
Austintown, OH 44515-2328
Phone
(330) 797-9172
Fax
(330) 797-9174
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lucine Saleh, MBA
Title
Business Manager
Phone
(330) 797-9172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

25 N Canfield Niles Rd
Suite 160
Austintown, OH 44515-2328

Mailing address

25 N Canfield Niles Rd
Suite 160
Austintown, OH 44515-2328
Phone (330) 797-9172

Other identifiers 1

IdentifierTypeStateIssuer
2456337MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073628756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD",
            "address_2": "SUITE 160",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152328",
            "telephone_number": "330-797-9172",
            "fax_number": "330-797-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD",
            "address_2": "SUITE 160",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152328",
            "telephone_number": "330-797-9172",
            "fax_number": "330-797-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "LUCINE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "330-797-9172",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2456337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.