PEDIATRIC ASSOCIATES OF AVON
NPI 1659355451
Pediatrics in Avon, IN

Active since December 05, 2005CLIA 15D1041180 · Waiver
1115 RONALD REAGAN PKWY, SUITE 136, AVON, IN 46123(317) 217-2900(317) 217-2909 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Associates Of Avon NPPES

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

PEDIATRIC ASSOCIATES OF AVON (NPI 1659355451) is a healthcare organization registered as a pediatrics in Avon, Indiana and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Donald Joy Mcintire, Physician, as its authorized official.

NPPES Registry Identity

NPI1659355451
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF AVON
Location Address1115 RONALD REAGAN PKWY, SUITE 136Avon, IN 46123-6910
Mailing Address1115 Ronald Reagan Pkwy, Suite 136Avon, IN 46123-6910 · (317) 217-2900 · Fax (317) 217-2909
Fax(317) 217-2909
Organization SubpartNo
Authorized OfficialDonald Joy McintirePhysician · (317) 217-2900
Enumeration DateDecember 5, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1659355451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in IN · 01049242 Licensed in IN · 01038641
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.
1115 RONALD REAGAN PKWY, Avon, IN 46123

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 15D1041180

Pediatric Associates Of Avon · Avon, IN
Active · expires May 24, 2027
CLIA Number15D1041180
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorDr. Jason Cosgrove
Laboratory Phone(317) 217-2900
Laboratory LocationPediatric Associates Of Avon1115 Ronald Reagan Pkwy Ste 136, Avon, IN 46123
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 20

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

Otolaryngology
1115 RONALD REAGAN PKWY, STE 255
AVON, IN 46123
Family Medicine (Sports Medicine)
1115 RONALD REAGAN PKWY, STE 148
AVON, IN 46123
Internal Medicine
1115 RONALD REAGAN PKWY, STE 318
AVON, IN 46123
Audiologist
1115 RONALD REAGAN PKWY, STE 254
AVON, IN 46123
Surgery
1115 RONALD REAGAN PKWY, SUITE 224
AVON, IN 46123
Internal Medicine (Interventional Cardiology)
1115 RONALD REAGAN PKWY, STE 171
AVON, IN 46123
Nurse Practitioner (Family)
1115 RONALD REAGAN PKWY
AVON, IN 46123
Family Medicine
1115 RONALD REAGAN PKWY, SUITE 100
AVON, IN 46123

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 Pediatric Associates Of Avon's NPI number?

The NPI number for Pediatric Associates Of Avon is 1659355451. It was assigned to this organization in the NPPES registry on December 5, 2005.

Where is Pediatric Associates Of Avon located?

Pediatric Associates Of Avon is located at 1115 Ronald Reagan Pkwy Suite 136, Avon, IN 46123. The listed phone number is (317) 217-2900.

What is Pediatric Associates Of Avon's specialty?

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

Does Pediatric Associates Of Avon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1041180) is associated with this NPI, valid through May 24, 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 Pediatric Associates Of Avon 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.