Pediatric Service Group

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

35043505 Issued in OH

Legal business name

PEDIATRIC SERVICE GROUP

Practice address

4308 Belmont Ave
Youngstown, OH 44505-1052

Phone

(330) 759-9670

Fax

(330) 759-9705

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Khalid Iqbal, MD

Title

Owner

Phone

(330) 759-9670

Specialties & licenses 1

Addresses

Other names 1

• none Other name

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1356541650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-759-9670",
            "fax_number": "330-759-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051052",
            "telephone_number": "330-759-9670",
            "fax_number": "330-759-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-759-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "35043505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elaine Pearce, RD,LD
• Pearlzz LTD
• Shameka Peavy
• Pediatric Associates of Youngstown
• Pediatric Imaging Associates, LLC
• Latonia Peeples
• Funda Renee Peete, RN
• Erica N Pegues, LPN
• Jamie Pekarcik
• Julia R Pemrich, LPN

• Legal Medicine in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Legal Medicine in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.