NPIMap

Organization Active NPI

Pediatric Associates PC

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1194810127
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES PC
Practice address
7600 N 15TH St
#130
Phoenix, AZ 85020-4347
Phone
(602) 861-1611
Fax
(602) 371-8929
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Ralph Lersch, MDNPI 1922011436
Title
President
Phone
(602) 861-1611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

7600 N 15TH St
#130
Phoenix, AZ 85020-4347

Mailing address

7600 N 15TH St
#130
Phoenix, AZ 85020-4347
Phone (602) 861-1611

Other names 1

  • Corporation Other name

National Provider Directory

National Provider Directory

Locations

7600 N 15th St
Ste 130
Phoenix, AZ 85020
Phone (602) 861-1611

7720 N 16th St
Ste 110
Phoenix, AZ 85020
Phone (602) 861-1611

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194810127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST",
            "address_2": "#130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204347",
            "telephone_number": "602-861-1611",
            "fax_number": "602-371-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST",
            "address_2": "#130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204347",
            "telephone_number": "602-861-1611",
            "fax_number": "602-371-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LERSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-861-1611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.