NPIMap

Organization Active NPI

Pediatric Orthopedic Associates LLC

  • Pediatric Orthopaedic Surgery Physician
  • Toledo, OH
National Provider Identifier
1184018491
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
35087835 Issued in OH
Legal business name
PEDIATRIC ORTHOPEDIC ASSOCIATES LLC
Practice address
7630 Kings Pointe Rd
Toledo, OH 43617-1500
Phone
(419) 517-7533
Fax
(419) 517-7501
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Carla Jean Smith
Title
Office Manager
Phone
(419) 517-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XP3100X 35087835 OH Primary

Addresses

Primary practice location

7630 Kings Pointe Rd
Toledo, OH 43617-1500

Mailing address

7630 Kings Pointe Rd
Toledo, OH 43617-1500
Phone (419) 517-7533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1184018491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 KINGS POINTE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171500",
            "telephone_number": "419-517-7533",
            "fax_number": "419-517-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 KINGS POINTE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171500",
            "telephone_number": "419-517-7533",
            "fax_number": "419-517-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ORTHOPEDIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-517-7505"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "OH",
            "license": "35087835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.