Our Village Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OUR VILLAGE PEDIATRICS, LLC

Practice address

115 Academy St
Canton, GA 30114-2860

Phone

(470) 389-4970

NPI assigned

Apr 30, 2020

Last updated

Apr 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Glaeser

Title

Office Manager

Phone

(470) 389-4970

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAGIDD

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.

• Stephanie L Hassel McNeil, MD

  • Pediatrics Physician
  • Canton, GA
  • NPI 1306887047
  NPD (past)

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1255952347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142860",
            "telephone_number": "470-389-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142860",
            "telephone_number": "470-389-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR VILLAGE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "GLAESER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "470-389-4970"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Ordoubadi, DO
• Allyson Brooke Orr, PHARMD
• Naomi Orsenigo, CNP
• Hector Ortiz, D.C.
• Karen Marie Ostergren, OTR/L
• Overflow Nation LLC
• Hannah Michele Owenby, MT-BC
• Ariana Ownbey
• Carson Crowley Pace
• Carmen Paduraru

• Pediatrics Physician in Canton, GA
• Providers in Canton, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.