Pediatrics 21, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD065674L Issued in PA

Legal business name

PEDIATRICS 21, LLC

Practice address

670 N River St
Ste 270
Plains, PA 18705

Phone

(570) 270-2525

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Azra M Sehic, M.D.NPI 1982670808

Title

Owner,Physician

Phone

(570) 270-2525

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azra M Sehic, MD

  • Pediatric Nephrology Physician
  • Kingston, PA
  • NPI 1982670808
  NPD (past) Authorized official

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1194134304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N RIVER ST STE 270",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051027",
            "telephone_number": "570-270-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N RIVER ST",
            "address_2": "STE 270",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18705",
            "telephone_number": "570-270-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS 21, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "SEHIC",
        "authorized_official_first_name": "AZRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER,PHYSICIAN",
        "authorized_official_telephone_number": "570-270-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD065674L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708262",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer B Ostrowski, MS OTRL
• Eric Paczewski, PT
• Cassandra Anne Passamonte
• Paul J Witt MD
• Paul Witt DO PLLC
• Barry J Pernikoff, M.D.
• Eli Gerard Phillips
• Plains Volunteer Ambulance Association
• Melissa Katherine Prushinski, MSPT
• Nicholas John Pugliese, MSOTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.