Westerville Pediatric Specialists, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WESTERVILLE PEDIATRIC SPECIALISTS, INC.

Doing business as

Sunbury Mills Pediatrics

Practice address

575 Westar Crossing
Suite 101
Westerville, OH 43082-7800

Phone

(614) 508-2223

Fax

(614) 508-2233

NPI assigned

Dec 19, 2006

Last updated

Jul 8, 2016By 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

Kathleen M Wodarcyk, M.D.NPI 1962474270

Title

President

Phone

(614) 508-2223

Specialties & licenses 2

Addresses

Other names 1

• Sunbury Mills Pediatrics Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Kathleen Marie Wodarcyk, M.D.

  • Pediatrics Physician
  • Westerville, OH
  • NPI 1962474270
  Authorized official Same address or phone
• Michael Jack Leymaster, M.D.

  • Pediatrics Physician
  • Westerville, OH
  • NPI 1164426995
  NPD (past)
• Michelle Emelia Yaw, M.D.

  • Pediatrics Physician
  • Westerville, OH
  • NPI 1093886947
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1104989334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 WESTAR CROSSING",
            "address_2": "SUITE 101",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827800",
            "telephone_number": "614-508-2223",
            "fax_number": "614-508-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 WESTAR CROSSING",
            "address_2": "SUITE 101",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827800",
            "telephone_number": "614-508-2223",
            "fax_number": "614-508-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERVILLE PEDIATRIC SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "WODARCYK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-508-2223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunbury Mills Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.