Active NPI
New Century Pediatrics of Lima, Inc.
- Pediatrics Physician
- Lima, OH
National Provider Identifier
1154589455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1315574
- Legal business name
- NEW CENTURY PEDIATRICS OF LIMA, INC.
- Practice address
- 1001 Bellefontaine Ave
Lima, OH 45804-2800 - Phone
- (419) 226-9585
- NPI assigned
- May 23, 2008
- 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
- William A Cole Jr., MD
- Title
- Ceo
- Phone
- (800) 726-3627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1315574 | OH | Primary |
Addresses
Primary practice location
1001 Bellefontaine Ave
Lima, OH 45804-2800
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2327655 | Medicaid | OH | |
| 000000248792 | Other | OH | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1154589455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458042800",
"telephone_number": "419-226-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CENTURY PEDIATRICS OF LIMA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-23",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-726-3627",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": "1315574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2327655",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000248792",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.