Pediatric Associates of Youngstown

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF YOUNGSTOWN

Practice address

8580 South Ave Ste 2
Youngstown, OH 44514-3693

Phone

(330) 965-7454

Fax

(330) 965-7459

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Khalid Habo, MDNPI 1801867627

Title

Owner

Phone

(330) 965-7454

Specialties & licenses 1

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

Locations

Practitioners 3

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

• Khalid A Habo, M.D.

  • Pediatrics Physician
  • Youngstown, OH
  • NPI 1801867627
  NPD Authorized official
• John J Aziz, M.D.

  • Psychiatry Physician
  • Logan, OH
  • NPI 1679592075
  NPD (past)
• Stephanie Burbick, FNP-C

  • Family Nurse Practitioner
  • Warren, OH
  • NPI 1811450760
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1811187735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 SOUTH AVE STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143693",
            "telephone_number": "330-965-7454",
            "fax_number": "330-965-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 SOUTH AVE STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143693",
            "telephone_number": "330-965-7454",
            "fax_number": "330-965-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF YOUNGSTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "HABO",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-965-7454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick A. Peachman, M.D.
• Angela D Peachock, APRN-CNP
• Elaine Pearce, RD,LD
• Pearlzz LTD
• Shameka Peavy
• Pediatric Imaging Associates, LLC
• Pediatric Service Group
• Latonia Peeples
• Funda Renee Peete, RN
• Erica N Pegues, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.