Ronald Pedalino DO LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34003101 Issued in OH

Legal business name

RONALD PEDALINO DO LLC

Practice address

7134 Copperwood CT
Springboro, OH 45066-8169

Phone

(937) 725-6640

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Joseph Pedalino, DO

Title

President

Phone

(937) 382-4564

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1114072386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7134 COPPERWOOD CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668169",
            "telephone_number": "937-725-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7134 COPPERWOOD CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668169",
            "telephone_number": "937-725-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD PEDALINO DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "PEDALINO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-382-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "34003101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448519",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Springboro, OH
• Providers in Springboro, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.