Children'S Community Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDREN'S COMMUNITY CARE

Practice address

205 Millers Run Rd Ste 300
Bridgeville, PA 15017-1356

Phone

(724) 934-3334

Fax

(412) 838-0903

NPI assigned

Apr 17, 2013

Organization subpart

No

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

Authorized official

Name

Lori Martinez

Title

Executive Administrator III

Phone

(724) 933-1100

Specialties & licenses 1

Addresses

Other names 1

• Children's Community Pediatrics Doing business as

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1154764454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BRADFORD RD STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906910",
            "telephone_number": "724-933-1100",
            "fax_number": "724-933-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MILLERS RUN RD STE 300",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171356",
            "telephone_number": "724-934-3334",
            "fax_number": "412-838-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR III",
        "authorized_official_telephone_number": "724-933-1100"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Community Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Community Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chartiers Community Mental Health and Retardation Center, Inc
• Chartiers Community Mental Health and Retardation Center, Inc.
• Chartiers Valley School District
• Lori L Cherup, MD
• Nicolette Chiesa, M.D.
• Children'S Community Care
• Children'S Community Pediatrics
• Caroline Chismer
• Choice Healthcare LLC
• Michael Christiansen

• Pediatrics Physician in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.