Pediatric Associates of Avon

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01049242 Issued in IN

Legal business name

PEDIATRIC ASSOCIATES OF AVON

Practice address

1115 Ronald Reagan Pkwy
Suite 136
Avon, IN 46123-6910

Phone

(317) 217-2900

Fax

(317) 217-2909

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Donald Joy McIntire, MD

Title

Physician

Phone

(317) 217-2900

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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

• Jason Andrew Cosgrove, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Indianapolis, IN
  • NPI 1598976649
  NPD (past)
• Eve Marie Gill, MD

  • Pediatrics Physician
  • Avon, IN
  • NPI 1891842886
  NPD (past)
• Rebecca R Guanajuato, NP-C

  • Family Nurse Practitioner
  • Avon, IN
  • NPI 1508913583
  NPD (past)
• Vandana B Patel, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1801890587
  NPD (past)
• James A. Shmalo, M.D.

  • Pediatrics Physician
  • Greenwood, IN
  • NPI 1003866385
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659355451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 RONALD REAGAN PKWY",
            "address_2": "SUITE 136",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236910",
            "telephone_number": "317-217-2900",
            "fax_number": "317-217-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 RONALD REAGAN PKWY",
            "address_2": "SUITE 136",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236910",
            "telephone_number": "317-217-2900",
            "fax_number": "317-217-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF AVON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCINTIRE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "317-217-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01038641",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01049242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumit U. Patel, PHARMD
• Pathway Home Care LLC
• Richard Kevin Payne, MA, LMHC
• Peace of Mind Behavior Services LLC
• Linda Joyce Pedersen, PT
• Brandy Pellett
• Jennifer J Pelley, NP
• Elissa Renae Pennington
• Peterson Psychiatric Services, LLC
• Valerie Anne Petro, P.T.

• Pediatrics Physician in Avon, IN
• Providers in Avon, IN by specialty
• Pediatrics Physician in Indiana

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.