North Area Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

280780 Issued in NY

Legal business name

NORTH AREA PEDIATRICS, PC

Doing business as

Summerwood Pediatrics

Practice address

4811 Buckley Rd
Liverpool, NY 13088-3629

Phone

(315) 457-9966

Fax

(315) 457-9854

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Robert A. Dracker, MDNPI 1528175361

Title

Owner/Medical Director

Phone

(315) 457-9966

Specialties & licenses 1

Addresses

Other names 1

• Summerwood Pediatrics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Albert Dracker, M.D.

  • Pediatrics Physician
  • Liverpool, NY
  • NPI 1528175361
  NPD Authorized official

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1376927038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 BUCKLEY RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883629",
            "telephone_number": "315-457-9966",
            "fax_number": "315-457-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 BUCKLEY RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883629",
            "telephone_number": "315-457-9966",
            "fax_number": "315-457-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AREA PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "DRACKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "315-457-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "280780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerwood Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summerwood Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Robert Nolan, MD
• Robert S Nolan, MD
• Thomas Bennett Nolan, DDS
• North Area Medical Group P.C.
• North Area Medical Group, P.C.
• North Area Pediatrics, PC
• North Medical PC
• North Medical Radiotherapy, P.C.
• Catherine M North, M.D.
• Northern Onondaga Volunteer Ambulance Inc

• Pediatrics Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.