Pediatrics South, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRICS SOUTH, INC.

Practice address

240 Mount Lebanon Blvd
Pittsburgh, PA 15234-1243

Phone

(412) 561-7541

Fax

(412) 561-2366

NPI assigned

Jul 8, 2006

Last updated

Feb 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott L. Tyson, MDNPI 1679534275

Title

Ceo

Phone

(412) 561-7541

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott L Tyson, M.D.

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1679534275
  Authorized official Same address or phone
• Susan Nickel Vancleve, CRNP, CPNP

  • Pediatric Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1447300777
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1578596284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MOUNT LEBANON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341243",
            "telephone_number": "412-561-7541",
            "fax_number": "412-561-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MOUNT LEBANON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341243",
            "telephone_number": "412-561-7541",
            "fax_number": "412-561-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-561-7541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Play and Grow Therapeutic Center
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatric Therapy Specialists, Inc.
• Pediatric Therapy Specialists, Inc.
• Pediatric Therapy Specialists, Inc.
• Pediatrix Medical Group of Pennsylvania, P.C.
• Pediatrix Medical Group of Pennsylvania, P.C.
• Laura Pedraza
• Maxwell Francis Pedre, DO
• Joseph Carl Pedulla, LPC, M.ED

• Pediatrics Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.