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PREMIUM PEDIATRICS
NPI 1497730550
Pediatrics in Niles, OH

Active since December 13, 2005CLIA 36D1043355 · Waiver
918 YOUNGSTOWN WARREN RD, SUITE C, NILES, OH 44446(330) 652-3100(330) 652-1231 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premium Pediatrics NPPES

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

PREMIUM PEDIATRICS (NPI 1497730550) is a healthcare organization registered as a pediatrics in Niles, Ohio and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Carrie Oklota-fadell, President, as its authorized official.

NPPES Registry Identity

NPI1497730550
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIUM PEDIATRICS
Location Address918 YOUNGSTOWN WARREN RD, SUITE CNiles, OH 44446-4623
Mailing Address918 Youngstown Warren Rd, Suite CNiles, OH 44446-4623 · (330) 652-3100 · Fax (330) 652-1231
Phone(330) 652-3100
Fax(330) 652-1231
Organization SubpartNo
Authorized OfficialCarrie Oklota-fadellPresident · (330) 652-3100
Enumeration DateDecember 13, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497730550 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.
918 YOUNGSTOWN WARREN RD, Niles, OH 44446
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Other Identifiers 1

Medicaid2600760OH

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 36D1043355

Premium Pediatrics Inc · Niles, OH
Active · expires Jul 20, 2027
CLIA Number36D1043355
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorTeresa Yocum
Laboratory Phone(330) 652-3100
Laboratory LocationPremium Pediatrics Inc918 Youngstown Warren Road Suite C, Niles, OH 44446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

KIMBERLY L MILLER
Behavior Analyst
918 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-1606
LISA PELLEGRINI CCC,SLP
Speech-Language Pathologist
918 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-1606
GERADINE CRUSH PT
Physical Therapist
918 YOUNGSTOWN WARREN RD, SUITE A
NILES, OH 44446
Trumbull County (330) 505-1606
MICHELLE TOTH
Speech-Language Pathologist
918 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-1606
STACEY BECK CCC-SLP
Speech-Language Pathologist
918 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-1606
DARLA SUE ADKINS CCC-SLP
Speech-Language Pathologist
918 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-1606
TERESA A YOCUM MD
Pediatrics
918 YOUNGSTOWN WARREN RD, STE C
NILES, OH 44446
Trumbull County (330) 652-3100
RANDALL J HODAK PT
Physical Therapist
918 YOUNGSTOWN WARREN RD
NILES, OH 44446
Trumbull County (330) 505-1606

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 Premium Pediatrics's NPI number?

The NPI number for Premium Pediatrics is 1497730550. It was assigned to this organization in the NPPES registry on December 13, 2005.

Where is Premium Pediatrics located?

Premium Pediatrics is located at 918 Youngstown Warren Rd Suite C, Niles, OH 44446. The listed phone number is (330) 652-3100.

What is Premium Pediatrics's specialty?

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

Does Premium Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1043355) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premium Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Premium Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premium Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.