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MARYSVILLE PEDIATRICS INC NPI 1821098609


NPI Information

NPI: 1821098609
Provider Name: MARYSVILLE PEDIATRICS INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
610 S PLUM ST
MARYSVILLE, OH
ZIP 43040
Phone: (937) 644-1920
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MARYSVILLE PEDIATRICS INC is a pediatrics in Marysville, 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. MARYSVILLE PEDIATRICS INC NPI is 1821098609. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

610 S PLUM ST
MARYSVILLE, OH
ZIP 43040-630
Phone: (937) 644-1920
Fax: (937) 644-2024

The provider's authorized official is Nikola T Alain .
The authorized official title is Medical Director and has the following contact phone number (937) 644-1920.

The enumeration date for this NPI number is 7/22/2005 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
1208000000XPediatrics35-050943OHIONo
2208000000XPediatrics34-007191OHIONo
3208000000XPediatrics35-083181OHIOYes

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
12244016MEDICAIDOHIO

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

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