Pediatric Healthcare Associates

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

01046288A Issued in IN

Legal business name

PEDIATRIC HEALTHCARE ASSOCIATES

Practice address

3145 45TH St
Highland, IN 46322-3291

Phone

(219) 922-9150

Fax

(219) 922-9180

NPI assigned

Feb 2, 2009

Last updated

Feb 2, 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

Blanca Suarez

Title

Biller

Phone

(219) 922-9150

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1679711402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223291",
            "telephone_number": "219-922-9150",
            "fax_number": "219-922-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223291",
            "telephone_number": "219-922-9150",
            "fax_number": "219-922-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "219-922-9150"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "01046288A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200135930",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph James Paun, MS, DC
• Sarah Rhea Paun, D.C.
• Tammy A Pavlowski, P.T.
• Pediatric Dental Associates of Indiana, Inc
• Pediatric Dentistry of Northwest Indiana PC
• Weng Peng, MD
• Jordan W. Pickens
• Lorraine Alexa Pickett
• PMP Associates P C
• Podiatry Partners Inc

• Clinic/Center in Highland, IN
• Providers in Highland, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.