Impact Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

IMPACT PEDIATRICS, LLC

Practice address

1910 Bethel Rd
Columbus, OH 43220-1864

Phone

(614) 824-2546

Fax

(614) 824-2549

NPI assigned

Aug 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dawn Hackshaw, MDNPI 1902884802

Title

Owner

Phone

(614) 459-6510

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Dawn S Hackshaw, MD

  • Pediatrics Physician
  • Columbus, OH
  • NPI 1902884802
  NPD (past) Authorized official

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1578842720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201864",
            "telephone_number": "614-824-2546",
            "fax_number": "614-824-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201864",
            "telephone_number": "614-824-2546",
            "fax_number": "614-824-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "HACKSHAW",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-459-6510",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Imler, OPTICIAN
• Amy A Imm, M.D.
• John G. Imm III, D.D.S.
• Immaculate Homehealth Care Services LLC
• Impact Care Ohio LLC.
• Impact Performance Therapy
• Angdi K. Impelee
• Imperial Comfort Home Health Agency
• Implied Human Dynamics Personal Care Home
• Important Individuals Supported Living

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.