SUNBURY MILLS PEDIATRICS
NPI 1104989334
Pediatrics in Westerville, OH

Q: What is Westerville Pediatric Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since December 19, 2006CLIA 36D0327896 · Waiver

575 WESTAR CROSSING, SUITE 101, WESTERVILLE, OH 43082(614) 508-2223(614) 508-2233 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sunbury Mills Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNBURY MILLS PEDIATRICS (NPI 1104989334) is a healthcare organization registered as a pediatrics in Westerville, Ohio and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Kathleen M Wodarcyk, President, as its authorized official.

NPPES Registry Identity

NPI1104989334

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameWESTERVILLE PEDIATRIC SPECIALISTS, INC.

Location Address575 WESTAR CROSSING, SUITE 101Westerville, OH 43082-7800

Mailing Address575 Westar Crossing, Suite 101Westerville, OH 43082-7800 · (614) 508-2223 · Fax (614) 508-2233

Phone(614) 508-2223

Fax(614) 508-2233

Organization SubpartNo

Authorized OfficialKathleen M WodarcykPresident · (614) 508-2223

Enumeration DateDecember 19, 2006

Last NPPES UpdateJuly 8, 2016

✔ NPI 1104989334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

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.

575 WESTAR CROSSING, Westerville, OH 43082

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Other Names 1

Doing Business AsSunbury Mills Pediatrics

Other Identifiers 1

Medicaid2288546OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0327896

Westerville Pediatric Specialists, Inc · Westerville, OH

Active · expires Dec 22, 2027

CLIA Number36D0327896

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorMichael J. Leymaster

Laboratory Phone(614) 508-2223

Laboratory LocationWesterville Pediatric Specialists, Inc575 Westar Crossing, Ste 101, Westerville, OH 43082

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Westerville Pediatric Specialists, Inc.'s NPI number?

The NPI number for Westerville Pediatric Specialists, Inc. is 1104989334. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Sunbury Mills Pediatrics.

Where is Westerville Pediatric Specialists, Inc. located?

Westerville Pediatric Specialists, Inc. is located at 575 Westar Crossing Suite 101, Westerville, OH 43082. The listed phone number is (614) 508-2223.

What is Westerville Pediatric Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Westerville Pediatric Specialists, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0327896) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Westerville Pediatric Specialists, Inc. was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.