Premier Care Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PREMIER CARE PEDIATRICS, INC.

Practice address

2642 Elm Rd.
Cortland, OH 44410

Phone

(330) 841-5500

Fax

(330) 841-5510

NPI assigned

Oct 31, 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 Sansoterra, M.D.

Title

President

Phone

(330) 841-5500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508942400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 ELM RD.",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "44410",
            "telephone_number": "330-841-5500",
            "fax_number": "330-841-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 ELM RD.",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "44410",
            "telephone_number": "330-841-5500",
            "fax_number": "330-841-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANSOTERRA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-841-5500",
        "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": []
}

• Renee Pitts, C.T.
• Plaza Optometrists Inc.
• James E Port, M.D.
• Rachel Elizabeth Poullas, APRN-CNP
• Tricia Pratt, RDH
• Stephen Prindle, PHARMD, RPH
• Professional Picc Services
• Professional Picc Services LLC
• Psycare, Inc.
• Morris Wade Pulliam, M.D.

• Pediatrics Physician in Cortland, OH
• Providers in Cortland, OH by specialty
• Pediatrics Physician in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.