Pediatric Associates of Lancaster, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF LANCASTER, INC.

Practice address

1554 Wesley Way
Lancaster, OH 43130

Phone

(740) 687-6386

Fax

(740) 687-1388

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer L Miller, MDNPI 1497916894

Title

President

Phone

(740) 687-6386

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 6

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

• Jennifer Lynn Miller, MD

  • Pediatrics Physician
  • Lancaster, OH
  • NPI 1497916894
  NPD Authorized official
• Rachael Elizabeth Hall, CNP

  • Family Nurse Practitioner
  • Lancaster, OH
  • NPI 1417460478
  NPD
• Michele M. Hensley, M.D.

  • Pediatrics Physician
  • Lancaster, OH
  • NPI 1982678793
  NPD
• Shelly J Kasik, PA

  • Physician Assistant
  • Lancaster, OH
  • NPI 1881223022
  NPD
• Martin H. Harris, M.D.

  • Pediatrics Physician
  • Lancaster, OH
  • NPI 1407820574
  NPD (past)
• Ezekiel Donovan Hartman

  • Pediatrics Physician
  • Davenport, IA
  • NPI 1659834695
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1255305207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 WESLEY WAY",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-687-6386",
            "fax_number": "740-687-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 WESLEY WAY",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-687-6386",
            "fax_number": "740-687-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF LANCASTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-687-6386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110432",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Thomas Pearch, D.O.
• Pearl Aesthetics & Wellness
• Jonathan H Pearlman, M.D.
• Trudi Peck
• Pediatric Anesthesiology LLC
• Martha E Peebles-Fields, LISW-S
• Mark Allen Pennington, LMT
• Macie Lane Penrod
• Tara R Perez, LPCC
• Perfection Health Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.