Central Greene Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD072957L Issued in PA

Legal business name

CENTRAL GREENE PEDIATRICS, PC

Practice address

246 Elm Dr
Waynesburg, PA 15370-8269

Phone

(724) 627-0926

NPI assigned

Apr 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Alan Church, M.D.NPI 1013979657

Title

President

Phone

(724) 627-0926

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Alan Church, M.D.

  • Pediatrics Physician
  • Waynesburg, PA
  • NPI 1013979657
  NPD (past) Authorized official

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083676373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ELM DR",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708269",
            "telephone_number": "724-627-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 ELM DR",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708269",
            "telephone_number": "724-627-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GREENE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-627-0926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD072957L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerville Clinics, Inc.
• Centerville Clinics, Inc.
• Centerville Clinics, Inc.
• Centerville Clinics, Inc.
• Centerville Clinics, Inc. Psy
• Central Greene School District
• Prayun Chayapruks, MD CMD
• Betsy Christman
• Daniel Alan Church, M.D.
• Robert Edward Cicchino Jr., DO

• Pediatrics Physician in Waynesburg, PA
• Providers in Waynesburg, PA by specialty
• Pediatrics Physician in Pennsylvania

• 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.