NPIMap

Organization Active NPI

The Pediatric Center, Inc.

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1407995723
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE PEDIATRIC CENTER, INC.
Practice address
3900 Sunforest Court
Suite 223
Toledo, OH 43623-4440
Phone
(419) 473-6676
Fax
(419) 291-6478
NPI assigned
Feb 5, 2007
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Mrs. Amy S Drake
Title
Billing Manager, Owner
Phone
(419) 697-4416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3900 Sunforest Court
Suite 223
Toledo, OH 43623-4440

Mailing address

3900 Sunforest Court
Suite 223
Toledo, OH 43623-4440
Phone (419) 473-6676

Other practice location 1

2702 Navarre Ave Ste 106
Oregon, OH 43616-3224
Phone (419) 697-6777

Other identifiers 1

IdentifierTypeStateIssuer
0972881MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0332424Pediatric Center, Inc, the3900 Sunforest CT, Toledo, OH 43623AccreditationDec 22, 2027
36D0990988Pediatric Center, Inc, the2702 Navarre Ave #106, Oregon, OH 43616AccreditationApr 22, 2028

National Provider Directory

National Provider Directory

Locations

3740 W Sylvania Ave
Ste 250
Toledo, OH 43623
Phone (419) 473-6670

3900 Sunforest Ct
Ste 215
Toledo, OH 43623
Phone (419) 473-6670

3900 Sunforest Ct
Ste 223
Toledo, OH 43623
Phone (419) 473-3446

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1407995723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST COURT",
            "address_2": "SUITE 223",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234440",
            "telephone_number": "419-473-6676",
            "fax_number": "419-291-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST COURT",
            "address_2": "SUITE 223",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234440",
            "telephone_number": "419-473-6676",
            "fax_number": "419-291-6478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2702 Navarre Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163224",
            "country_code": "US",
            "telephone_number": "419-697-6777",
            "fax_number": "419-697-4416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PEDIATRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-11-28",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MANAGER, OWNER",
        "authorized_official_telephone_number": "419-697-4416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.