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OLD SCHOOLHOUSE PEDIATRICS
NPI 1619114097
Pediatrics in Greenwood, IN

Active since January 07, 2009
373 MERIDIAN PARKE LN, STE. E, GREENWOOD, IN 46142(317) 893-2364(317) 851-8066 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Old Schoolhouse Pediatrics NPPES

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

OLD SCHOOLHOUSE PEDIATRICS (NPI 1619114097) is a healthcare organization registered as a pediatrics in Greenwood, Indiana and active in the NPI registry since January 2009. The organization lists Marjorie E Lake, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1619114097
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLAKE PEDIATRICS PC
Location Address373 MERIDIAN PARKE LN, STE. EGreenwood, IN 46142-9420
Mailing Address373 Meridian Parke Ln, Ste. EGreenwood, IN 46142-9420 · (317) 893-2364 · Fax (317) 851-8066
Phone(317) 893-2364
Fax(317) 851-8066
Organization SubpartNo
Authorized OfficialMarjorie E LakeCeo/owner · (317) 893-2364
Enumeration DateJanuary 7, 2009
Last NPPES UpdateMarch 26, 2013
✔ NPI 1619114097 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.
373 MERIDIAN PARKE LN, Greenwood, IN 46142
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Other Names 1

Doing Business AsOld Schoolhouse Pediatrics

Other Identifiers 2

Other50005045AIN · Medical Corporation License
Medicaid200928110AIN

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

Other Providers at the Same Location NPPES 6

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

DR. JAMES A. SHMALO M.D.
Pediatrics
373 MERIDIAN PARKE LN, SUITE C-1
GREENWOOD, IN 46142
Johnson County (317) 882-0136
MRS. TRICIA WEBER NP
Nurse Practitioner (Psychiatric/Mental Health)
373 MERIDIAN PARKE LN, SUITE C1
GREENWOOD, IN 46142
Johnson County (317) 882-0295
DR. ELIZABETH R DAHLBERG M.D.
Pediatrics
373 MERIDIAN PARKE LN, STE. E
GREENWOOD, IN 46142
Johnson County (317) 893-2364
KIDD PEDIATRICS
Pediatrics
373 MERIDIAN PARKE LN, SUITE C-1
GREENWOOD, IN 46142
Johnson County (317) 882-0136
DR. ABBEY C HOFFMAN OD
Optometrist
373 MERIDIAN PARKE LN, STE E
GREENWOOD, IN 46142
Johnson County (317) 535-3935
DR. BARON L. KIDD M.D.
Pediatrics
373 MERIDIAN PARKE LN, SUITE C-1
GREENWOOD, IN 46142
Johnson County (317) 882-0136

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 Lake Pediatrics PC's NPI number?

The NPI number for Lake Pediatrics PC is 1619114097. It was assigned to this organization in the NPPES registry on January 7, 2009. The provider is doing business as Old Schoolhouse Pediatrics.

Where is Lake Pediatrics PC located?

Lake Pediatrics PC is located at 373 Meridian Parke Ln Ste. E, Greenwood, IN 46142. The listed phone number is (317) 893-2364.

What is Lake Pediatrics PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Pediatrics PC was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.