Pediatric Associates of Dayton, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF DAYTON, INC.

Practice address

5450 Far Hills Ave
Suite 110
Kettering, OH 45429-2386

Phone

(937) 436-2866

Fax

(937) 436-1468

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary Youra, M.D.

Title

Physician

Phone

(937) 832-7337

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pediatric Associates of Dayton Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Associates of Dayton Inc

  • Pediatrics Physician
  • Dayton, OH
  • NPI 1376679605
  NPD tax ID
• Pediatric Associates of Dayton, Inc.

  • Pediatrics Physician
  • Beavercreek, OH
  • NPI 1174792584
  NPD tax ID

Practitioners 1

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

• Lasonya Dionne Jones

  • Pediatrics Physician
  • Miamisburg, OH
  • NPI 1871662270
  NPD (past)

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1609045012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "SUITE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-832-7337",
            "fax_number": "937-832-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 FAR HILLS AVE",
            "address_2": "SUITE 110",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292386",
            "telephone_number": "937-436-2866",
            "fax_number": "937-436-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF DAYTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "YOURA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-832-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2637543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Pavlica, PA-C
• Peter M Pavlina, MD
• Melissa K Payne, LPCC, LICDC
• Stephanie Christine Pearson
• Juliet Irene Peck, MBBS
• Jo Yvette Pelfrey, M.D.
• Richard Joseph Pelstring, M.D.
• Shital Pema, DPM
• Brian Michael Pennington, MD
• Devin Pennington, PHARMACIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.