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ABC PEDIATRICS OF OHIO LLC NPI 1093845893


NPI Information

NPI: 1093845893
Provider Name: ABC PEDIATRICS OF OHIO, LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 36D1011917

Address:
1510 COLUMBUS AVE
SUITE 310
WASHINGTON COURT HOUSE, OH
ZIP 43160
Phone: (740) 335-0886
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ABC PEDIATRICS OF OHIO, LLC is an adolescent medicine pediatrics in Washington Court House, OH. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. ABC PEDIATRICS OF OHIO, LLC NPI is 1093845893. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1510 COLUMBUS AVE
SUITE 310
WASHINGTON COURT HOUSE, OH
ZIP 43160-899
Phone: (740) 335-0886
Fax: (740) 335-1924

The provider's authorized official is Lenora Arlene Fitton .
The authorized official title is Owner and has the following contact phone number (740) 335-0886.

The CLIA number assigned to this NPI record is 36D1011917 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine34005989OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10216368MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.