Richland Pediatrics Inc

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

Organization subpart

No

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

Authorized official

Name

Dr. Chandra R Shaker, MDFAAP

Title

President

Phone

(419) 522-5454

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2300512",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richland Endocrinology & Diabetes Center Inc
• Richland Family Practice, LTD
• Richland Internal Medicine
• Richland Internists, Inc.
• Richland Newhope Industries, Inc.
• Richland Pediatrics, Inc.
• Richland Pulmonary and Critical Care Associates Inc
• Richland Surgical Associates Inc
• Morgan Richter, LSW
• Arthur Alan Riddle

• Pediatrics Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Pediatrics Physician in Ohio

• 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.