NPIMap

Organization Active NPI

Childrens Choice Pediatrics Inc

  • Pediatrics Physician
  • Stow, OH
National Provider Identifier
1295728269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34005343 Issued in OH
Legal business name
CHILDRENS CHOICE PEDIATRICS INC
Practice address
3925 Darrow Rd
Ste 105
Stow, OH 44224-2600
Phone
(330) 686-8424
Fax
(330) 686-7810
NPI assigned
Aug 25, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tanla I Kurtz, DO
Title
Co-Owner Physician
Phone
(330) 686-8424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34005343 OH Primary

Addresses

Primary practice location

3925 Darrow Rd
Ste 105
Stow, OH 44224-2600

Mailing address

3925 Darrow Rd
Ste 105
Stow, OH 44224-2600
Phone (330) 686-8424

Other identifiers 1

IdentifierTypeStateIssuer
0871043MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Childrens Choice Pediatrics Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3925 Darrow Rd
Ste 105
Stow, OH 44224
Phone (330) 686-8424

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295728269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 DARROW RD",
            "address_2": "STE 105",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242600",
            "telephone_number": "330-686-8424",
            "fax_number": "330-686-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 DARROW RD",
            "address_2": "STE 105",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242600",
            "telephone_number": "330-686-8424",
            "fax_number": "330-686-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CHOICE PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "TANLA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CO-OWNER PHYSICIAN",
        "authorized_official_telephone_number": "330-686-8424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34005343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0871043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • 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.