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PEDIATRIC PARTNERS OF CLEVELAND INC. NPI 1538160114


NPI Information

NPI: 1538160114
Provider Name: PEDIATRIC PARTNERS OF CLEVELAND, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 36D0670455

Address:
23250 CHAGRIN BLVD
SUITE #130
BEACHWOOD, OH
ZIP 44122
Phone: (216) 514-0100
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PEDIATRIC PARTNERS OF CLEVELAND, INC. is a pediatrics in Beachwood, 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 PARTNERS OF CLEVELAND, INC. NPI is 1538160114. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23250 CHAGRIN BLVD
SUITE #130
BEACHWOOD, OH
ZIP 44122-470
Phone: (216) 514-0100
Fax: (216) 514-0171

The provider's authorized official is Daniel Worthington .
The authorized official title is President and has the following contact phone number (216) 514-0100.

The CLIA number assigned to this NPI record is 36D0670455 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 4/20/2008.


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
1208000000XPediatrics=========OHIOYes

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
10165155MEDICAIDOHIO
2=========OTHEROHIOEIN

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: 11/14/2023

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