Active NPI
Childrens Choice Pediatrics Inc
- Pediatrics Physician
- Stow, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35064576
- Legal business name
- CHILDRENS CHOICE PEDIATRICS INC
- Practice address
- 3925 Darrow Rd
Ste 105
Stow, OH 44224-2600 - Phone
- (330) 686-8424
- Fax
- (330) 686-7810
- NPI assigned
- Aug 24, 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
- Mrs. Michele C Marshall, MD
- Title
- Co Owner Physician
- Phone
- (330) 686-8424
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35064576 | OH | Primary |
Addresses
Primary practice location
3925 Darrow Rd
Ste 105
Stow, OH 44224-2600
Mailing address
3925 Darrow Rd
Ste 105
Stow, OH 44224-2600
Phone (330) 686-8424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0921480 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Childrens Choice Pediatrics Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Stow, OH
- NPI 1770650343
-
- Pediatrics Physician
- Stow, OH
- NPI 1295728269
-
- Pediatrics Physician
- Stow, OH
- NPI 1356333926
Practitioners & affiliated clinicians
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.
-
- Pediatrics Physician
- Stow, OH
- NPI 1033368345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104819317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 DARROW RD",
"address_2": "STE 105",
"city": "STOW",
"state": "OH",
"postal_code": "442242600",
"telephone_number": "330-686-8424",
"fax_number": "330-686-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 DARROW RD",
"address_2": "STE 105",
"city": "STOW",
"state": "OH",
"postal_code": "442242600",
"telephone_number": "330-686-8424",
"fax_number": "330-686-7810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS CHOICE PEDIATRICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CO OWNER PHYSICIAN",
"authorized_official_telephone_number": "330-686-8424",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": "35064576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0921480",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stow, 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.