Sozo Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOZO PEDIATRICS

Practice address

625 Garfield Ave
Lancaster, OH 43130-2432

Phone

(614) 214-2534

NPI assigned

Jun 4, 2019

Last updated

Jun 4, 2019By 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

Amy Provenzano, NURSE PRACTITIONERNPI 1487178687

Title

Ceo/Provider

Phone

(614) 214-2534

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23216/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Michelle Provenzano, CPNP-PC

  • Pediatric Nurse Practitioner
  • Warren, NJ
  • NPI 1487178687
  NPD Authorized official

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1831757822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 GARFIELD AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302432",
            "telephone_number": "614-214-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 GARFIELD AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302432",
            "telephone_number": "614-214-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZO PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "PROVENZANO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "614-214-2534",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Sommers
• Ladonna Elaine Sorrell
• Southeast Ohio Home Herlp Agency, LLC
• Southeast Ohio Regional Orthopaedic Center LLC
• Danielle Nichole Sowers, PRS
• Scott Spangler
• Sparks Family Chiropractic Inc
• Laura Sue Sparks, D.C.
• Robert Scott Sparks, D.C.
• Austi Spaulding, LSW

• Primary Care Clinic/Center in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.