Pediatric Products, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEDIATRIC PRODUCTS, LLC

Practice address

3209 W Smith Valley Rd
#217-4
Greenwood, IN 46142-8510

Phone

(317) 884-5035

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Roni J Williams

Title

General Manager

Phone

(513) 891-4633

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1699900548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 EXON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412520",
            "telephone_number": "513-891-4633",
            "fax_number": "513-891-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD",
            "address_2": "#217-4",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428510",
            "telephone_number": "317-884-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RONI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "513-891-4633"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200503130A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peace Family Counseling, LLC
• Peakfinds Medical
• Lauren Peal
• Sanford Lloyd Pederson, PH.D., HSPP
• Pediatric Products, LLC
• Ariel Peek
• Brittany Peet
• Grace L Pence, OTR/L
• Angelina Pennington, RBT
• Diane Beth Pennycuff, OT

• Durable Medical Equipment & Medical Supplies in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.