Pediatric Place, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PEDIATRIC PLACE, INC

Practice address

3690 Orange PL
Ste 100
Beachwood, OH 44122-4464

Phone

(216) 831-7337

Fax

(216) 595-0793

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jan Kriwinsky, M.D.NPI 1982632881

Title

President

Phone

(216) 831-7337

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Jan Kriwinsky, M.D.

  • Pediatrics Physician
  • Beachwood, OH
  • NPI 1982632881
  NPD (past) Authorized official
• Bettina G Reyes, M.D.

  • Pediatrics Physician
  • Beachwood, OH
  • NPI 1710919907
  NPD (past)
• Alan H Rosenthal, M.D.

  • Pediatrics Physician
  • Beachwood, OH
  • NPI 1003848284
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265581409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "STE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-831-7337",
            "fax_number": "216-595-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "STE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-831-7337",
            "fax_number": "216-595-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PLACE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIWINSKY",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-831-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2463794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Pearson
• Jarrett Pease, DPT
• Marla Pease, OTR/L
• Jennifer K Peck, PA-C
• Pediatric Partners of Cleveland, Inc.
• Gabriele Pedicelli, M.D.
• Karen Peereboom, CNP
• Brittany Peleg
• Kathy Pender, LPCC CCDC
• Scott D. Pendergast, M.D.

• Specialist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Specialist in Ohio

• 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.