Organization Active NPI

Pickaway Pediatric and Family Care, Inc.

  • Pediatrics Physician
  • Circleville, OH
National Provider Identifier
1326195264
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PICKAWAY PEDIATRIC AND FAMILY CARE, INC.
Practice address
600 N Pickaway St
Suite 300
Circleville, OH 43113-2409
Phone
(740) 420-8048
Fax
(740) 420-8060
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Jayne A Barr, M.D.
Title
Physician
Phone
(740) 420-8060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

600 N Pickaway St
Suite 300
Circleville, OH 43113-2409

Mailing address

600 N Pickaway St
Suite 300
Circleville, OH 43113-2409
Phone (740) 420-8048

Other identifiers 1

IdentifierTypeStateIssuer
2201718MedicaidOH

National Provider Directory

National Provider Directory

Locations

1180 N Court St
Ste C
Circleville, OH 43113
Phone (740) 420-8060

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1326195264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "address_2": "SUITE 300",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132409",
            "telephone_number": "740-420-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "address_2": "SUITE 300",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132409",
            "telephone_number": "740-420-8048",
            "fax_number": "740-420-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKAWAY PEDIATRIC AND FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-420-8060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201718",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.