Active NPI
The Pediatric Center
- Pediatrics Physician
- Lima, OH
National Provider Identifier
1902091572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- THE PEDIATRIC CENTER
- Practice address
- 967 Bellefontaine Ave
Lima, OH 45804-2888 - Phone
- (419) 224-5437
- Fax
- (419) 224-8714
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Valerie J Kline
- Title
- Billing Manager
- Phone
- (419) 224-7056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
967 Bellefontaine Ave
Lima, OH 45804-2888
Mailing address
967 Bellefontaine Ave
Lima, OH 45804-2888
Phone (419) 224-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0819609 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189123200000",
"number": "1902091572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458042888",
"telephone_number": "419-224-5437",
"fax_number": "419-224-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458042888",
"telephone_number": "419-224-5437",
"fax_number": "419-224-8714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PEDIATRIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A",
"authorized_official_last_name": "KLINE",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "419-224-7056",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0819609",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.