North Coast Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTH COAST PEDIATRICS

Practice address

20800 Westgate
Suite 400
Fairview Park, OH 44126-1323

Phone

(440) 356-2272

Fax

(440) 356-2299

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jon K Abrahamson, MD

Title

President

Phone

(440) 356-2272

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1376719484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE",
            "address_2": "SUITE 400",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261323",
            "telephone_number": "440-356-2272",
            "fax_number": "440-356-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE",
            "address_2": "SUITE 400",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261323",
            "telephone_number": "440-356-2272",
            "fax_number": "440-356-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-356-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207650",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dinar Naserallah
• New Life Medical Center
• Tara Kathleen Nicotra Clemente, MSW
• Kelsey Normile, CNP
• North Coast Ophthalmology Associates Inc
• North Park Senior Care LLC
• North Shore Diagnostic, Inc.
• Emad Dean Nukta, MD
• Miranda Lynn O'Dell, LPC
• Jeanne O'Malley, PT

• All providers in Fairview Park, OH
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.