Organization Active NPI

Pediatricare Associates, LLC

  • Pediatric Adolescent Medicine Physician
  • Toledo, OH
National Provider Identifier
1992908651
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
PEDIATRICARE ASSOCIATES, LLC
Practice address
3400 Meijer Dr
Toledo, OH 43617-1166
Phone
(419) 841-6442
Fax
(419) 841-6338
NPI assigned
Jun 8, 2007
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
Francis J Rogalski, M.D.
Title
Senior Partner
Phone
(419) 841-6442

Specialties & licenses 1

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

Addresses

Primary practice location

3400 Meijer Dr
Toledo, OH 43617-1166

Mailing address

3400 Meijer Dr
Toledo, OH 43617-1166
Phone (419) 841-6442

Other identifiers 1

IdentifierTypeStateIssuer
2283792MedicaidOH

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/166/brand/1/csg/21/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992908651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MEIJER DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171166",
            "telephone_number": "419-841-6442",
            "fax_number": "419-841-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MEIJER DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171166",
            "telephone_number": "419-841-6442",
            "fax_number": "419-841-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGALSKI",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "419-841-6442",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2283792",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

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.