Premium Pediatrics

Pediatrics Physician · Niles, OH

Organization Active NPI

NPI number 1497730550

Practice location

918 Youngstown Warren Rd
Suite C
Niles, OH 44446-4623
Phone
(330) 652-3100
Fax
(330) 652-1231

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NPI record

NPI
1497730550
Entity type
Organization (Type 2)
Enumeration date
December 13, 2005
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X — —

Authorized official

Name
Carrie Oklota-Fadell, MD
Title
President
Phone
(330) 652-3100

About Premium Pediatrics

Premium Pediatrics is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 918 Youngstown Warren Rd, Suite C, Niles, OH 44446-4623. The NPI number 1497730550 was assigned on December 13, 2005 and the record was last updated on August 22, 2020.

The authorized official for this organization is Carrie Oklota-Fadell, MD, President.

Frequently asked questions

What is the NPI number of Premium Pediatrics?

The NPI number is 1497730550.

What is the phone number of Premium Pediatrics?

The phone number listed for the practice location is (330) 652-3100.

Where is Premium Pediatrics located?

918 Youngstown Warren Rd, Suite C, Niles, OH 44446-4623.

What is the taxonomy code for Premium Pediatrics?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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