Ohio Pediatric Care Alliance Physicians, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OHIO PEDIATRIC CARE ALLIANCE PHYSICIANS, LLC

Doing business as

Pediatric Associates of Springfield

Practice address

1640 N Limestone St
Springfield, OH 45503-2652

Phone

(937) 328-2320

NPI assigned

Jan 3, 2014

Organization subpart

Yes

Parent organization

OHIO PEDIATRIC CARE ALLIANCE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Richard J. Miller

Title

President and Chief Operating Offic

Phone

(614) 722-2259

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Associates of Springfield Doing business as

Locations

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1710308085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032652",
            "telephone_number": "937-328-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO PEDIATRIC CARE ALLIANCE PHYSICIANS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO PEDIATRIC CARE ALLIANCE, LLC",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF OPERATING OFFIC",
        "authorized_official_telephone_number": "614-722-2259",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Associates of Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.