Plain City Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.093851 Issued in OH

Legal business name

PLAIN CITY PEDIATRICS LLC

Practice address

480 S Jefferson Ave Ste 400
Plain City, OH 43064-4137

Phone

(614) 570-3598

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Alicia Danielle Fenn, MD

Title

Pediatrician

Phone

(614) 570-3598

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1285903880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 BONALY CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169439",
            "telephone_number": "614-570-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S JEFFERSON AVE STE 400",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644137",
            "telephone_number": "614-570-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAIN CITY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "614-570-3598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.093851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynne Phinney
• Roger Alvin Pickens, D.D.S.
• Skylar Pinneda
• Plain City Chiropractic Office
• Plain City Eyecare
• Pleasant Valley Joint Fire District
• Julie A Pozda
• Precision Labs, LLC
• Jo Reilly-Paniccia
• Lorena Richtarsic

• Pediatrics Physician in Plain City, OH
• Providers in Plain City, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.