Organization Active NPI

Pediatric Associates Inc

  • Pediatrics Physician
  • Solon, OH
National Provider Identifier
1497831218
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ASSOCIATES INC
Practice address
34501 Aurora Road
Suite 206
Solon, OH 44139-3873
Phone
(440) 248-4636
Fax
(440) 248-0133
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Charles S Griffin, MDNPI 1033103494
Title
President
Phone
(440) 248-4636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

34501 Aurora Road
Suite 206
Solon, OH 44139-3873

Mailing address

34501 Aurora Road
Suite 206
Solon, OH 44139-3873
Phone (440) 248-4636

Other identifiers 1

IdentifierTypeStateIssuer
0216939MedicaidOH

National Provider Directory

National Provider Directory

Locations

34501 Aurora Rd
Ste 105
Solon, OH 44139
Phone (440) 349-2411

34501 Aurora Rd
Ste 206
Solon, OH 44139
Phone (440) 248-4636

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1497831218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34501 AURORA ROAD",
            "address_2": "SUITE 206",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393873",
            "telephone_number": "440-248-4636",
            "fax_number": "440-248-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34501 AURORA ROAD",
            "address_2": "SUITE 206",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393873",
            "telephone_number": "440-248-4636",
            "fax_number": "440-248-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-248-4636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.