Active NPI
The Pediatric Center LLC
- Pediatrics Physician
- Columbia, MD
National Provider Identifier
1083696041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- THE PEDIATRIC CENTER LLC
- Practice address
- 5900 Waterloo Rd Ste 110
Columbia, MD 21045-2636 - Phone
- (443) 451-1600
- Fax
- (443) 451-1619
- NPI assigned
- Nov 16, 2005
- 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
- Dr. James A Kopper
- Title
- Medical Doctor
- Phone
- (443) 451-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
5900 Waterloo Rd Ste 110
Columbia, MD 21045-2636
Mailing address
5900 Waterloo Road,
Suite 110
Columbia, MD 21045-4147
Phone (443) 451-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 971721800 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
700 Geipe Rd
Ste 210
Catonsville, MD 21228
Phone (443) 451-1600
5900 Waterloo Rd
Ste 110
Columbia, MD 21045
Phone (443) 451-1600
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Clarksville, MD
- NPI 1760450621
-
- Pediatrics Physician
- Ellicott City, MD
- NPI 1124097860
-
- Pediatrics Physician
- Columbia, MD
- NPI 1790836989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473811200000",
"number": "1083696041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 WATERLOO ROAD,",
"address_2": "SUITE 110",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454147",
"telephone_number": "443-451-1600",
"fax_number": "443-451-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 WATERLOO RD STE 110",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452636",
"telephone_number": "443-451-1600",
"fax_number": "443-451-1619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PEDIATRIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-16",
"last_updated": "2016-09-14",
"status": "A",
"authorized_official_last_name": "KOPPER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "443-451-1600",
"authorized_official_name_prefix": "Dr."
},
"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": "971721800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
- The Johns Hopkins Hospital (The Johns Hopkins Outpatient Rehab at Columbia)
- The Kid's Dentist, P.a.
- The Mahogany Institute, LLC
- The Mood Center, LLC
- The Neurology Institute for Brain Health and Fitness
- The Pediatric Center LLC
- The Promptcare Companies, Inc.
- The Remote OT LLC
- The Retina Group of Washington, PLLC
- The Speech Path LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.