Marysville Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-083181 Issued in OH

Legal business name

MARYSVILLE PEDIATRICS INC

Practice address

610 S Plum St
Marysville, OH 43040-1630

Phone

(937) 644-1920

Fax

(937) 644-2024

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Nikola T Alain, MD

Title

Medical Director

Phone

(937) 644-1920

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821098609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S PLUM ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401630",
            "telephone_number": "937-644-1920",
            "fax_number": "937-644-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S PLUM ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401630",
            "telephone_number": "937-644-1920",
            "fax_number": "937-644-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSVILLE PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALAIN",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-644-1920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-083181",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-050943",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34-007191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2244016",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robert Russell Massie, LICDC
• Margaret A Mawhirter, PA-C
• Pamela Nelle May, STNA, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.