NPIMap

Organization Active NPI

Pediatric Care Center PC

  • Pediatric Adolescent Medicine Physician
  • Marion Center, PA
National Provider Identifier
1972691103
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
PEDIATRIC CARE CENTER PC
Practice address
100 Neale Address
Mahoning Medical Center
Marion Center, PA 15759-0268
Phone
(724) 397-2326
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rizwan Jabir, M.D.NPI 1598798225
Title
Owner
Phone
(724) 397-2326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

100 Neale Address
Mahoning Medical Center
Marion Center, PA 15759-0268

Mailing address

Route 403 South
PO Box 268
Marion Center, PA 15759
Phone (724) 397-2326

Other identifiers 1

IdentifierTypeStateIssuer
613096OtherPAPA BLUE SHIELD

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972691103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROUTE 403 SOUTH",
            "address_2": "PO BOX 268",
            "city": "MARION CENTER",
            "state": "PA",
            "postal_code": "15759",
            "telephone_number": "724-397-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEALE ADDRESS",
            "address_2": "MAHONING MEDICAL CENTER",
            "city": "MARION CENTER",
            "state": "PA",
            "postal_code": "157590268",
            "telephone_number": "724-397-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JABIR",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-397-2326",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "613096",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion Center, PA

Sources for this page

  • 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.