London Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35074812 Issued in OH

Legal business name

LONDON PEDIATRICS, INC.

Practice address

55 Park Ave
Ste 240
London, OH 43140-1121

Phone

(740) 845-7650

Fax

(740) 845-7651

NPI assigned

Dec 6, 2006

Last updated

Nov 21, 2007By 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

Dr. Martha Ellen Geib, M.D.

Title

President

Phone

(740) 845-7650

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1174682363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PARK AVE",
            "address_2": "STE 240",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401121",
            "telephone_number": "740-845-7650",
            "fax_number": "740-845-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARK AVE",
            "address_2": "STE 240",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401121",
            "telephone_number": "740-845-7650",
            "fax_number": "740-845-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDON PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GEIB",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-845-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35074812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2171742",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• M.a. Jan, M.D., Inc
• Michelle K Madden
• Madison County Auditor (Madison County Public Health)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.