PEDIATRICARE ASSOCIATES, LLC - NPI 1992908651

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

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About Pediatricare Associates, Llc NPPES

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

PEDIATRICARE ASSOCIATES, LLC (NPI 1992908651) is a healthcare organization registered as an adolescent medicine in Toledo, Ohio and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Francis J Rogalski, Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1992908651

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NamePEDIATRICARE ASSOCIATES, LLC

Location Address3400 MEIJER DRToledo, OH 43617-1166

Mailing Address3400 Meijer DrToledo, OH 43617-1166 · (419) 841-6442 · Fax (419) 841-6338

Phone(419) 841-6442

Fax(419) 841-6338

Organization SubpartNo

Authorized OfficialFrancis J RogalskiSenior Partner · (419) 841-6442

Enumeration DateJune 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1992908651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

3400 MEIJER DR, Toledo, OH 43617

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Other Identifiers 1

Medicaid2283792OH

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.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 36D2214968

Pediatricare Associates · Toledo, OH

Active · expires Feb 24, 2027

CLIA Number36D2214968

Laboratory TypePhysician Office

Certificate Effective DateFebruary 25, 2025

Certificate Expiration DateFebruary 24, 2027

Laboratory DirectorWilliam Long

Laboratory Phone(614) 722-0584

Laboratory LocationPediatricare Associates7629 King's Pointe Road, Toledo, OH 43617

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DEBRA K WENZKE CNP

Nurse Practitioner