Pediatric Care Center P C

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PEDIATRIC CARE CENTER P C

Practice address

100 Neal Ave
Marion Center, PA 15759

Phone

(724) 397-2326

Fax

(724) 397-2420

NPI assigned

Oct 7, 2025

Last updated

Oct 9, 2025By 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

Rizwan Jabir, MDNPI 1598798225

Title

Owner

Phone

(724) 388-3127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912872136. Details of each certification follow.

• CCN 393931 Rural health clinic · Active · Details

Rural health clinic certification: CCN 393931

Legal name

PEDIATRIC CARE CENTER P C

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

May 20, 2026

Last certification

May 20, 2026

Ownership / control type

1B

Organization structure

CorporationProprietary

Enrollment address

100 Neal Ave
Marion Center, PA 15759

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pediatric Care Center P C

  • Rural Health Clinic/Center
  • Indiana, PA
  • NPI 1083587018

  8921270802

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pediatric Care Center P C3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Care Center P C

  • Rural Health Clinic/Center
  • Indiana, PA
  • NPI 1083587018
  NPD tax ID
• Pediatric Care Center PC

  • Pediatric Adolescent Medicine Physician
  • Marion Center, PA
  • NPI 1972691103
  NPD tax ID

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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.

• Rizwan Jabir, M.D.

  • Pediatric Adolescent Medicine Physician
  • Marion Center, PA
  • NPI 1598798225
  Authorized official Same address or phone

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1912872136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "MARION CENTER",
            "state": "PA",
            "postal_code": "157590268",
            "telephone_number": "724-397-2326",
            "fax_number": "724-397-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEAL AVE",
            "city": "MARION CENTER",
            "state": "PA",
            "postal_code": "15759",
            "telephone_number": "724-397-2326",
            "fax_number": "724-397-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "JABIR",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-388-3127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Lovisone
• Sierra Lynn Lovisone
• Marion Center Area School District
• Jennifer Marie Mazza, MD
• Joseph Lindsay Parks, DO
• Pediatric Care Center PC
• Suraj Sharma, MD
• Tierra Williams, MD
• William Earl Zewe, DMD

• Rural Health Clinic/Center in Marion Center, PA
• Providers in Marion Center, PA by specialty
• Rural Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.