PERRYSBURG PEDIATRICS
NPI 1053455170
Pediatrics in Perrysburg, OH
NPI Status: Active since February 20, 2007
Contact Information
1601 BRIGHAM DR
SUITE 200
PERRYSBURG, OH
ZIP 43551
Phone: (419) 872-7700
Fax: (419) 874-0196
- Organization
- Pediatrics
- CLIA Number: 36D0331468
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-09-2025
About PERRYSBURG PEDIATRICS
This page provides the complete NPI Profile along with additional information for Perrysburg Pediatrics, a pediatrician established in Perrysburg, Ohio operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1053455170 assigned on February 2007. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Perrysburg Pediatrics. The authorized official of this NPI record is Kimberly A Govan (Credentialing Specialist)
- NPI
- 1053455170
- Provider Legal Name
- PROMEDICA CENTRAL PHYSICIANS, LLC
- Other Organization Name
- PERRYSBURG PEDIATRICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1601 BRIGHAM DR SUITE 200 PERRYSBURG, OH 43551
- Location Phone
- (419) 872-7700
- Location Fax
- (419) 874-0196
- Mailing Address
- 1601 BRIGHAM DR SUITE 200 PERRYSBURG, OH 43551
- Mailing Phone
- (419) 872-7700
- Mailing Fax
- (419) 874-0196
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2007
- Last Update Date
- 07-21-2022
- Code Navigator
A pediatrician like Perrysburg Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- OH
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0999273 | MEDICAID (05) | OH | |
| 5835390 | OTHER (01) | OH | AETNA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0331468
- Facility Type
- Physician Office
- Certificate Effective Date
- August 10, 2023
- Certificate Expiration Date
- August 09, 2025
- Laboratory Director
- JON DVORAK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Perrysburg Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PERRYSBURG PEDIATRICS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 4 | 5 | 5 | 1 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 8 | 5 | 10 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 8 + 5 + 1 + 0 + 1 + 1 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1053455170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588666085 | RICHARD SCHWARTZ MD Individual | Family Medicine | 1601 BRIGHAM DR SUITE 250 PERRYSBURG, OH 43551 (419) 872-7745 |
| 1992797864 | CARMEN WEEBER-MORSE MD Individual | Pediatrics | 1601 BRIGHAM DR SUITE 200 PERRYSBURG, OH 43551 (419) 872-7700 |
| 1922078013 | MICHELLE L. MATOUSEK DO Individual | Family Medicine | 1601 BRIGHAM DR SUITE 250 PERRYSBURG, OH 43551 (419) 872-7745 |
| 1376684688 | PROMEDICA CENTRAL PHYSICIANS, LLC Organization | Family Medicine | 1601 BRIGHAM DR SUITE 250 PERRYSBURG, OH 43551 (419) 872-5865 |
| 1285826156 | PROMEDICA CENTRAL PHYSICIANS,LLC Organization | Obstetrics & Gynecology | 1601 BRIGHAM DR SUITE 250A PERRYSBURG, OH 43551 (419) 872-7760 |
| 1457534356 | PROMEDICA CENTRAL PHYSICIANS, LLC Organization | Otolaryngology | 1601 BRIGHAM DR SUITE 250 PERRYSBURG, OH 43551 (419) 873-3277 |
| 1457632309 | PROMEDICA CENTRAL PHYSICIANS Organization | Psychiatry & Neurology (Neurology) | 1601 BRIGHAM DR SUITE 150 PERRYSBURG, OH 43551 (419) 872-7246 |
| 1144212176 | ANTHONLY R GERACI MD Individual | Internal Medicine (Cardiovascular Disease) | 1601 BRIGHAM DR SUITE 120 PERRYSBURG, OH 43551 (419) 872-7703 |
| 1477555076 | JOHN MEIER MD Individual | Family Medicine | 1601 BRIGHAM DR SUITE 250 PERRYSBURG, OH 43551 (419) 872-7745 |
| 1588091292 | PROMEDICA CENTRAL PHYSICIANS LLC Organization | Nurse Practitioner | 1601 BRIGHAM DR SUITE 150 PERRYSBURG, OH 43551 (419) 291-0130 |
| 1336176882 | VIDYA K RAMANATHAN M.D. Individual | Pediatrics | 1601 BRIGHAM DR SUITE 200 PERRYSBURG, OH 43551 (419) 872-7700 |
| 1194725028 | CAROLYN BADENHOP CNP Individual | Nurse Practitioner | 1601 BRIGHAM DR SUITE 250 PERRYSBURG, OH 43551 (419) 872-7745 |
| 1639213978 | MIDWEST CARDIOVASCULAR CONSTULTANTS, LLC Organization | Internal Medicine (Cardiovascular Disease) | 1601 BRIGHAM DR SUITE 120 PERRYSBURG, OH 43551 (419) 872-7703 |
| 1144222886 | DEE ANN BIALECKI-HAASE MD Individual | Family Medicine | 1601 BRIGHAM DR SUITE 250 PERRYSBURG, OH 43551 (419) 872-7745 |
| 1205828241 | JON R DVORAK MD Individual | Pediatrics | 1601 BRIGHAM DR SUITE 200 PERRYSBURG, OH 43551 (419) 872-7700 |
| 1205838802 | JASON EVANS MD Individual | Family Medicine | 1601 BRIGHAM DR SUITE 250 PERRYSBURG, OH 43551 (419) 872-7745 |
| 1437313244 | DR. JACOB N MACIEJEWSKI M.D. Individual | Pediatrics | 1601 BRIGHAM DR SUITE 200 PERRYSBURG, OH 43551 (419) 872-7700 |
| 1649583139 | KELLEY PRUIETT CNP Individual | Nurse Practitioner | 1601 BRIGHAM DR SUITE 120 PERRYSBURG, OH 43551 (419) 872-7703 |
| 1669405213 | BRYAN J. BADIK MD Individual | Family Medicine | 1601 BRIGHAM DR SUITE 250 PERRYSBURG, OH 43551 (419) 872-5863 |
| 1700312162 | ROBERT WITTE PA Individual | Physician Assistant | 1601 BRIGHAM DR #120 PERRYSBURG, OH 43551 (419) 872-7703 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053455170, enumerated in the NPI registry as an "organization" on February 20, 2007
The provider is located at 1601 Brigham Dr Suite 200 Perrysburg, Oh 43551 and the phone number is (419) 872-7700
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 36D0331468 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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