Indiana Pediatric Associates, PC
Organization Active NPI Pediatrics Physician · Indiana, PA
NPI 1467589796 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1467589796
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- INDIANA PEDIATRIC ASSOCIATES, PC
- Practice address
- 2255 Philadelphia St Ste a
Indiana, PA 15701-1595 - Phone
- (724) 463-0476
- Fax
- (742) 463-1196
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Jonna Keller, RN
- Title
- Officer Manager
- Phone
- (724) 463-0476
Corporate family (same tax ID) 2
Practitioners 9
-
Christina B Lubold, M.D.
-
Nichole Lynn Lysick, D.O.
-
Nichole Rensko, PA-C
-
Jennifer May Shobert, PA-C
-
Shafic Y Twal, M.D.
-
Sara Zeleznik, PA-C
-
Laura E Russell, PA-C
National Provider Directory
- Tax ID family
- Indiana Pediatric Associates P C a
Locations
2255 Philadelphia St
Ste A
Indiana, PA 15701
Phone (724) 462-0476
2261 Philadelphia St
Indiana, PA 15701
Phone (412) 465-5151
2255 Philadelphia St
Ste B
Indiana, PA 15701
Phone (724) 463-0476
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
2255 Philadelphia St Ste a
Indiana, PA 15701-1595
Mailing address
2255 Philadelphia St
Ste a and Ste B
Indiana, PA 15701-1595
Phone (724) 463-0476
Other practice location 1
25 Colony Blvd Ste 108
Blairsville, PA 15717-7971
Phone (724) 459-6063
Other practice location 2
2255 Philadelphia St Ste B
Indiana, PA 15701-1595
Phone (724) 463-0476
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011670020001 | Medicaid | PA |
Other providers in Indiana, PA
- Indiana Healthcare Physician Services Inc
- Indiana Healthcare Physician Services Inc
- Indiana Healthcare Physician Services, Inc
- Indiana Open MRI LLC
- Indiana Pediatric Associates, P C a
- Indiana Pychology Associates, Inc.
- Indiana Regional Imaging, PC
- Indiana Regional Medical Center
- Indiana Regional Medical Center
- Indiana Regional Medical Center
All providers in Indiana, PA · Pediatrics Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.