Pediatric Sleep and Neuro Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PEDIATRIC SLEEP AND NEURO CENTER

Doing business as

Pediatric Sleep and Neuro Center

Practice address

7811 Flint Rd
Columbus, OH 43235-6420

Phone

(614) 446-1820

NPI assigned

Oct 10, 2016

Organization subpart

Yes

Parent organization

PEDIATRIC SLEEP AND NEURO CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Samuel Dzodzomenyo, MD

Title

Owner

Phone

(614) 446-1820

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pediatric Sleep and Neuro Center Doing business as

Part of

Pediatric Sleep and Neuro Center

Locations

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1245780683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 FLINT RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432356420",
            "telephone_number": "614-446-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 FLINT RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432356420",
            "telephone_number": "614-446-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SLEEP AND NEURO CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC SLEEP AND NEURO CENTER",
        "enumeration_date": "2016-10-10",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "DZODZOMENYO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-446-1820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "OH",
            "license": "35.070439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64086143",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502652",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Sleep and Neuro Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Academic Association, Inc.
• Pediatric Ophthalmology
• Pediatric Ophthalmology Associates Inc.
• Pediatric Ophthalmology Associates, Inc.
• Pediatric Pathology Associates of Columbus Inc
• Charles Allen Pedigo, RRT
• Kacie Pedon, LPCC
• Amanda M Pedrick, M.D.
• Jonathan Stewart Pedrick, M.D.
• Thomas J Pedrick, MD

• Medical Specialty Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.