INDIANA PEDIATRIC ASSOCIATES, PC (NPI# 1467589796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467589796 |
| Entity Type | Organization |
| Organization Name | INDIANA PEDIATRIC ASSOCIATES, PC |
| Practice Address |
15 S 8th St Ste 200 Indiana PA 15701-2776 |
| Practice Telephone | 7244630476 |
| Mailing Telephone | 7244630476 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | CHRISTINA B LUBOLD (PRESIDENT) |
| Authorized Official Telephone | 7244630476 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
15 S 8TH ST STE 200 |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647053 | Ann R Jesick | Family Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2005-08-29 |
| 1427507045 | Nichole Rensko | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2016-09-23 |
| 1659626786 | Ashley Rae Ingham | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2012-07-15 |
| 1063703742 | Pauline D Balkaransingh | Pediatrics | 15 S 8th St, Ste 200, Indiana, PA 15717 | 2011-04-28 |
| 1659682110 | Nervana T. Mahmoud | Internal Medicine | 15 S 8th St, Suite 201, Indiana, PA 15701-2776 | 2010-06-29 |
| 1588994370 | Melissa Lynn Duncan | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2009-12-30 |
| 1083816979 | Jennifer May Shobert | Physician Assistant | 15 S 8th St, Suite 200, Indiana, PA 15701-2776 | 2007-06-03 |
| 1477563468 | Diane L Metzger | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-08-09 |
| 1821004342 | Edward P Mcdowell | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-08-01 |
| 1588686398 | John S Gregg Md | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215099734 | Henry Zane Kirk | Pediatrics | 610 Pratt Dr, Pechan Health Ctr, Indiana, PA 15705-1029 | 2006-12-14 |
| 1417343930 | Nichole Lynn Lysick | Pediatrics | 15 S 8th St Ste 200, Indiana, PA 15701 | 2015-04-10 |
| 1801071469 | Vijaya G Seshadri P C | Pediatrics | 1265 Wayne Ave, 119 Professional Center, Suite 306, Indiana, PA 15701-3501 | 2008-01-02 |
| 1104811819 | Shafic Y Twal | Pediatrics | 15 S 8th St, Suite 200, Indiana, PA 15701-2776 | 2005-09-19 |
| 1679568398 | Christina B Lubold | Pediatrics | 15 S 8th St, Suite 200, Indiana, PA 15701-2776 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 1972138204 | Margarita Bello | Pediatrics | 448 Walton Ave Unit 217, Hummelstown, PA 17036-4010 | 2020-03-06 |
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1164069241 | Ayala Laufer-cahana | Pediatrics | 647 Montgomery School Ln, Wynnewood, PA 19096-1013 | 2019-12-08 |
| 1023652708 | Pediatric Care Group, P.C. | Pediatrics | 890 2nd Street Pike Ste 904, Richboro, PA 18954-1021 | 2019-11-05 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1003462797 | Lucyndia Rose Marino | Pediatrics | 130 Classic Ln, New Castle, PA 16105-5304 | 2019-08-18 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.