Active NPI
Children'S Healthcare Center
- Pediatrics Physician
- Austintown, OH
National Provider Identifier
1073628756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2456337 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.