Pediatric Associates of Plymouth Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF PLYMOUTH INC.

Practice address

3031 Walton Rd
C101
Plymouth Meeting, PA 19462-2369

Phone

(610) 825-3502

Fax

(610) 825-8502

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John B. Evans, M.D.

Title

Managing Partner

Phone

(610) 825-3502

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

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477590263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 WALTON RD",
            "address_2": "C101",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622369",
            "telephone_number": "610-825-3502",
            "fax_number": "610-825-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 WALTON RD",
            "address_2": "C101",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622369",
            "telephone_number": "610-825-3502",
            "fax_number": "610-825-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF PLYMOUTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "610-825-3502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J. Pearlstein, D.O.
• Heather Pearsall, LPN
• Michiel Peart-Turner
• Michael L. Peck, D.O.
• Dale Pedersen
• Ramon Pedraza
• Andrea Peiffer
• Sherri Peirce
• Mary Ellen Pekar
• Dawn Marie Pellew, LPN

• Pediatrics Physician in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Pediatrics Physician in Pennsylvania

• 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.