Organization Active NPI

Richland Pediatrics Inc

  • Pediatrics Physician
  • Mansfield, OH
National Provider Identifier
1366443301
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35042404S Issued in OH
Legal business name
RICHLAND PEDIATRICS INC
Practice address
120 Sturges Ave
Ste 1
Mansfield, OH 44903
Phone
(419) 522-5454
Fax
(419) 522-2981
NPI assigned
Aug 1, 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
Dr. Chandra R Shaker, MDFAAPNPI 1497892061
Title
President
Phone
(419) 522-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 35042404S OH Primary

Addresses

Primary practice location

120 Sturges Ave
Ste 1
Mansfield, OH 44903

Mailing address

120 Sturges Ave
Ste 1
Mansfield, OH 44903
Phone (419) 522-5454

National Provider Directory

National Provider Directory

Locations

120 Sturges Ave
Ste 1
Mansfield, OH 44903
Phone (419) 522-5454

110 W Smiley Ave
Ste 1
Shelby, OH 44875

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366443301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STURGES AVE",
            "address_2": "STE 1",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-522-5454",
            "fax_number": "419-522-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STURGES AVE",
            "address_2": "STE 1",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-522-5454",
            "fax_number": "419-522-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAKER",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-522-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDFAAP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35042404S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, 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.