Organization Active NPI

All God's Children

  • Pediatric Adolescent Medicine Physician
  • Zelienople, PA
National Provider Identifier
1659575298
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD038036E Issued in PA
Legal business name
ALL GOD'S CHILDREN
Practice address
626 W New Castle St
Zelienople, PA 16063-2005
Phone
(724) 453-0568
NPI assigned
Jun 14, 2007
Last updated
Aug 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Dr. Monica Lynn Weidenhamer, M.D.
Title
Sole Proprietor
Phone
(724) 453-0568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X MD038036E PA Primary

Addresses

Primary practice location

626 W New Castle St
Zelienople, PA 16063-2005

Mailing address

626 W New Castle St
Zelienople, PA 16063-2005
Phone (724) 453-0568

Other identifiers 2

IdentifierTypeStateIssuer
0012033300005MedicaidPA
993771OtherPAHIGHMARK BC BS

National Provider Directory

National Provider Directory

Locations

626 W New Castle St
Zelienople, PA 16063
Phone (724) 453-0568

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1659575298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 W NEW CASTLE ST",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160632005",
            "telephone_number": "724-453-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 W NEW CASTLE ST",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160632005",
            "telephone_number": "724-453-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL GOD'S CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "WEIDENHAMER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "724-453-0568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD038036E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012033300005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "993771",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zelienople, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.