CHILDREN'S COMMUNITY PEDIATRICS
NPI 1255349668
Pediatrics in Blairsville, PA

Active since August 03, 2006CLIA 39D0947661 · Waiver
56 CLUB LN, BLAIRSVILLE, PA 15717(724) 459-6560 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Children's Community Pediatrics NPPES

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

CHILDREN'S COMMUNITY PEDIATRICS (NPI 1255349668) is a healthcare organization registered as a pediatrics in Blairsville, Pennsylvania and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Lori Martinez, Executive Administrator Iii, as its authorized official.

NPPES Registry Identity

NPI1255349668
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDREN'S COMMUNITY CARE
Location Address56 CLUB LNBlairsville, PA 15717-7957
Mailing Address103 Bradford Rd Ste 200Wexford, PA 15090-6910 · (724) 933-1100
Organization SubpartNo
Authorized OfficialLori MartinezExecutive Administrator Iii · (724) 933-1100
Enumeration DateAugust 3, 2006
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1255349668 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.

56 CLUB LN, Blairsville, PA 15717

Other Names 1

Doing Business AsChildren's Community Pediatrics

Other Identifiers 1

Other001597376PA · Highmark Id#

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 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 39D0947661

Childrens Community Pediatrics-Blairsville · Blairsville, PA
Active · expires Jun 28, 2027
CLIA Number39D0947661
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorDwayne T. Shuhart MD
Laboratory Phone(724) 459-6560
Laboratory LocationChildrens Community Pediatrics-Blairsville56 Club Lane Suite 201, Blairsville, PA 15717
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
56 CLUB LN
BLAIRSVILLE, PA 15717
Family Medicine
56 CLUB LN
BLAIRSVILLE, PA 15717
Family Medicine
56 CLUB LN
BLAIRSVILLE, PA 15717
Nurse Practitioner (Family)
56 CLUB LN
BLAIRSVILLE, PA 15717
Physician Assistant
56 CLUB LN
BLAIRSVILLE, PA 15717
Non-Pharmacy Dispensing Site
56 CLUB LN, SUITE 203
BLAIRSVILLE, PA 15717
Family Medicine
56 CLUB LN, STE 102
BLAIRSVILLE, PA 15717
Physician Assistant (Medical)
56 CLUB LN
BLAIRSVILLE, PA 15717

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255349668, enumerated as an "organization" on August 03, 2006.

The provider is located at 56 CLUB LN BLAIRSVILLE, PA 15717 and the phone number is (724) 459-6560.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Highmark Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.