Organization Active NPI

S C Pediatric Associates, Inc

  • Pediatrics Physician
  • Massillon, OH
National Provider Identifier
1306912662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
S C PEDIATRIC ASSOCIATES, INC
Practice address
3825 Lincoln Way E
Massillon, OH 44646-3722
Phone
(330) 478-0038
Fax
(330) 477-1383
NPI assigned
Nov 28, 2006
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
Louis J Schaner, DO
Title
President
Phone
(330) 478-0038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3825 Lincoln Way E
Massillon, OH 44646-3722

Mailing address

3825 Lincoln Way E
Massillon, OH 44646-3722
Phone (330) 478-0038

Other names 1

  • Children's Clinic Other name

National Provider Directory

National Provider Directory

Locations

1826 S Arch Ave
Alliance, OH 44601
Phone (330) 823-7311

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306912662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463722",
            "telephone_number": "330-478-0038",
            "fax_number": "330-477-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463722",
            "telephone_number": "330-478-0038",
            "fax_number": "330-477-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S C PEDIATRIC ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHANER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-478-0038",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Massillon, 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.