Provider Type Icon

PEDIATRIC ACADEMIC ASSOCIATION INC. NPI 1063419943


NPI Information

NPI: 1063419943
Provider Name: PEDIATRIC ACADEMIC ASSOCIATION, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 36D1030105

Address:
700 CHILDRENS DR
COLUMBUS, OH
ZIP 43205
Phone: (614) 722-4579
Get Directions

PEDIATRIC ACADEMIC ASSOCIATION, INC. is a pediatrics in Columbus, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC ACADEMIC ASSOCIATION, INC. NPI is 1063419943. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

700 CHILDRENS DR
COLUMBUS, OH
ZIP 43205-664
Phone: (614) 722-4579
Fax: (614) 722-4565

The provider's authorized official is Catherine Krawczeski .
The authorized official title is Authorized Official and has the following contact phone number (614) 722-4554.

The CLIA number assigned to this NPI record is 36D1030105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 10/17/2023.


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
1363AM0700XPhysician AssistantMedicalNo
2363LF0000XNurse PractitionerFamilyOHIONo
3363LP0200XNurse PractitionerPediatricsOHIONo
4208000000XPediatricsOHIOYes

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
10476131MEDICAIDOHIO

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.