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OHIOGUIDESTONE NPI 1609123728


NPI Information

NPI: 1609123728
Provider Name: OHIOGUIDESTONE

Former Legal Business Name: GUIDESTONE

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
202 E BAGLEY RD
BEREA, OH
ZIP 44017
Phone: (440) 260-8379
Get Directions

OHIOGUIDESTONE is a developmental - behavioral pediatrics pediatrics in Berea, OH. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. OHIOGUIDESTONE NPI is 1609123728. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Guidestone.

The provider's business location address is:

202 E BAGLEY RD
BEREA, OH
ZIP 44017-058
Phone: (440) 260-8379

The provider's authorized official is Mandy Jackson .
The authorized official title is Billing Supervisor and has the following contact phone number (440) 260-8328.

The enumeration date for this NPI number is 8/8/2012 and was last updated on 11/20/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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: 5/5/2024

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