Organization Active NPI

Abc Pediatrics of Ohio, LLC

  • Pediatric Adolescent Medicine Physician
  • Washington Court House, OH
National Provider Identifier
1093845893
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
34005989 Issued in OH
Legal business name
ABC PEDIATRICS OF OHIO, LLC
Practice address
616 Willard St
Washington Court House, OH 43160-1899
Phone
(740) 335-0886
Fax
(740) 335-1924
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Dr. Lenora Arlene Fitton, D.O.NPI 1184685273
Title
Owner
Phone
(740) 335-0886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X 34005989 OH Primary

Addresses

Primary practice location

616 Willard St
Washington Court House, OH 43160-1899

Mailing address

616 Willard St
Washington Court House, OH 43160-2161
Phone (740) 335-0886

Other identifiers 1

IdentifierTypeStateIssuer
0216368MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1011917Abc Pediatrics of Ohio LLC616 Willard St, Washingtn C H, OH 43160Certificate of waiverMay 7, 2027

National Provider Directory

National Provider Directory

Locations

1510 Columbus Ave
Ste 310
Washington Court House, OH 43160
Phone (740) 333-4970

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1093845893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 WILLARD ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602161",
            "telephone_number": "740-335-0886",
            "fax_number": "740-335-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 WILLARD ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601899",
            "telephone_number": "740-335-0886",
            "fax_number": "740-335-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRICS OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "FITTON",
        "authorized_official_first_name": "LENORA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-335-0886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OH",
            "license": "34005989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216368",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.