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PREMIER PEDIATRICS
NPI 1629194147
Pediatrics in Westlake, OH

Active since March 22, 2007CLIA 36D0891014 · Waiver
26040 DETROIT RD, SUITE 7, WESTLAKE, OH 44145(440) 871-1717(440) 871-3098 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Pediatrics NPPES

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

PREMIER PEDIATRICS (NPI 1629194147) is a healthcare organization registered as a pediatrics in Westlake, Ohio and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists John B Bennet, President, as its authorized official.

NPPES Registry Identity

NPI1629194147
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIER PEDIATRICS
Location Address26040 DETROIT RD, SUITE 7Westlake, OH 44145-2481
Mailing Address26040 Detroit Rd, Suite 7Westlake, OH 44145-2481 · (440) 871-1717 · Fax (440) 871-3098
Phone(440) 871-1717
Fax(440) 871-3098
Organization SubpartNo
Authorized OfficialJohn B BennetPresident · (440) 871-1717
Enumeration DateMarch 22, 2007
Last NPPES UpdateJune 10, 2011
✔ NPI 1629194147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35-05-6333
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.
26040 DETROIT RD, Westlake, OH 44145
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Other Identifiers 1

Medicare UPINF25186OH

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 36D0891014

Premier Pediatrics Inc · Westlake, OH
Active · expires Jan 31, 2027
CLIA Number36D0891014
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorJohn B. Bennet II
Laboratory Phone(440) 871-1717
Laboratory LocationPremier Pediatrics Inc26040 Detroit Road Suite 7, Westlake, OH 44145
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 3

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

MS. KATHLEEN THOMAS ROSEN LISW-S
Social Worker (Clinical)
26040 DETROIT RD, SUITE 3
WESTLAKE, OH 44145
Cuyahoga County (216) 392-5011
JOHN BENNET II M.D.
Pediatrics
26040 DETROIT RD, SUITE 7
WESTLAKE, OH 44145
Cuyahoga County (440) 871-1717
VERONICA BOJERSKI LPCC
Counselor (Professional)
26040 DETROIT RD, SUITE 3
WESTLAKE, OH 44145
Cuyahoga County (440) 250-9414

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 Premier Pediatrics's NPI number?

The NPI number for Premier Pediatrics is 1629194147. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Premier Pediatrics located?

Premier Pediatrics is located at 26040 Detroit Rd Suite 7, Westlake, OH 44145. The listed phone number is (440) 871-1717.

What is Premier Pediatrics's specialty?

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

Does Premier Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0891014) is associated with this NPI, valid through January 31, 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 Premier Pediatrics was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.