Pediatric & Adolescent Urology, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PEDIATRIC & ADOLESCENT UROLOGY, INC.

Practice address

215 W Bowery St
Suite 3500
Akron, OH 44308-1069

Phone

(330) 376-3332

Fax

(330) 376-2980

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel R McMahon, M.D.

Title

Physician

Phone

(330) 376-3332

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Phillip Francis Nasrallah, M.D.

  • Urology Physician
  • Akron, OH
  • NPI 1902825375
  NPD (past)
• Dalia M Spisak, MSN,RN,CPNP

  • Urology Physician
  • Akron, OH
  • NPI 1306861141
  NPD (past)
• Ruth Anna Youssefi, RN, MSN, CPNP

  • Nurse Practitioner
  • Akron, OH
  • NPI 1053569624
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386669299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BOWERY ST",
            "address_2": "SUITE 3500",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081069",
            "telephone_number": "330-376-3332",
            "fax_number": "330-376-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BOWERY ST",
            "address_2": "SUITE 3500",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081069",
            "telephone_number": "330-376-3332",
            "fax_number": "330-376-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT UROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-376-3332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tayeja R Pearson
• Trina Marie Pearson
• Pecola Counseling Services, LLC
• Sejal V Pedersen, MD
• Tallie Pederson, PHARMD
• Pediatrics of Akron, Inc.
• Christina J. Pegues, LCDCIII
• Leia Peison
• Bernadette Marie Pejic, CPNP
• Ashley Marie Pekarski, RN

• Specialist in Akron, OH
• Providers in Akron, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.