Southside Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

50000900 Issued in IN

Legal business name

SOUTHSIDE PEDIATRICS, INC.

Practice address

7830 McFarland LN
Indianapolis, IN 46237-4705

Phone

(317) 865-2700

Fax

(317) 865-2711

NPI assigned

Jan 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David J Need, MD

Title

President

Phone

(317) 865-2700

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Anne Kowatsch Clark, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1437391992
  NPD (past)
• Jolene Fredriksz, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1356553457
  NPD (past)
• Robert L Gloyeske, M.D.

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1124075882
  NPD (past)
• Peter Michael Wade, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1245859230
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427038884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 MCFARLAND LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462374705",
            "telephone_number": "317-865-2700",
            "fax_number": "317-865-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 MCFARLAND LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462374705",
            "telephone_number": "317-865-2700",
            "fax_number": "317-865-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-865-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "50000900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Eye Associates
• Southside Family Medical Group, LLC
• Southside Family Physicians, Inc
• Southside Internal Medicine PC
• Southside OB-GYN PC
• Southside Physical Therapy Clinic
• Southside Youth Council (Reach For Youth, Inc.)
• Southside Youth Council, Inc (Reach For Youth, Inc)
• Lindsey Southwick
• Nathaniel Robert Southwick

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• 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.
• 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.