South West Pediatrics Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH WEST PEDIATRICS INC.

Practice address

4079 Gantz Rd Ste B
Grove City, OH 43123-4913

Phone

(614) 875-3444

Fax

(614) 875-7780

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Earl Dickson, M.D.

Title

Owner/President

Phone

(614) 875-3444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1356649156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 GANTZ RD STE B",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234913",
            "telephone_number": "614-875-3444",
            "fax_number": "614-875-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4079 GANTZ RD STE B",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234913",
            "telephone_number": "614-875-3444",
            "fax_number": "614-875-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WEST PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "614-875-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Snashall, DDS
• Kaitlyn Jane Kiyoko Snyder, PT, DPT
• Teri Rene Snyder
• Hanna Sorensen, MD
• Mallory Soska
• South Western City School District
• South-Western City Schools
• Southwest Eyecare, LLC
• Southwestern Obstetrics and Gynecology, Inc.
• Southwestern Recovery Center, LLC

• Specialist in Grove City, OH
• Providers in Grove City, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.