LAKEWOOD PEDIATRICS (NPI# 1669565578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669565578 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD PEDIATRICS |
| Practice Address |
14701 Detroit Ave Suite 400 Lakewood OH 44107-4115 |
| Practice Telephone | 2162271330 |
| Practice Fax Number | 2162271322 |
| Mailing Telephone | 2162271330 |
| Mailing Fax Number | 2162271322 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | DR. FRED BARRY PEARLMAN (D.O./OWNER) |
| Authorized Official Telephone | 2162271330 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 34004965 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0834379 | 05 |
| Street Address |
14701 DETROIT AVE SUITE 400 |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778142 | Richard Allen Statesir | Ophthalmology | 14701 Detroit Ave, Ste 280, Lakewood, OH 44107-4109 | 2005-05-28 |
| 1083277115 | Daniel Vilamaa | Case Manager/Care Coordinator | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2019-04-15 |
| 1063970713 | Jacob W Loughner | Case Manager/Care Coordinator | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2019-03-12 |
| 1629585252 | Michael Patrick Wallett | Hearing Instrument Specialist | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2018-01-04 |
| 1972019644 | Joseph M Guzzi | Hearing Instrument Specialist | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2017-12-18 |
| 1962877340 | Sara Scarborough | Speech-Language Pathologist | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2015-12-10 |
| 1477958775 | Deniz F. Koprulu | Nurse Practitioner | 14701 Detroit Ave, Suite 620, Lakewood, OH 44107-4115 | 2014-10-29 |
| 1396149662 | Michelle Scianna | Nurse Practitioner | 14701 Detroit Ave, Suite 522, Lakewood, OH 44107-4115 | 2014-10-15 |
| 1275933780 | Lakewood Dermatology | Dermatology | 14701 Detroit Ave, Suite 208, Lakewood, OH 44107-4115 | 2014-09-03 |
| 1558786871 | Sara Walter Floreth | Counselor | 14701 Detroit Ave, Lakewood, OH 44107-4115 | 2014-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
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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 |
|---|---|---|---|---|
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1306305842 | Werzberger Pediatrics PC. | Pediatrics | 619 W County Line Rd, Lakewood, NJ 08701-1215 | 2019-03-14 |
| 1851893002 | Kayla Pediatrics, PC | Pediatrics | 1576 Lanes Mill Rd, Lakewood, NJ 08701-3839 | 2018-03-04 |
| 1558897272 | Ngoc Thien Nguyen | Pediatrics | 7424 Bridgeport Way W Ste 103, Lakewood, WA 98499-8137 | 2017-05-02 |
| 1104229285 | Avivit Zurkovsky | Pediatrics | 101 Seond Street, Lakewood, NJ 08701-3324 | 2014-10-02 |
| 1124285788 | Bram Greenberg | Pediatrics | 555 Hope Chapel Rd, Lakewood, NJ 08701-1517 | 2008-05-21 |
| 1841482635 | William R Fenster | Pediatrics | 1201 River Ave, Unit 10, Lakewood, NJ 08701-5676 | 2007-08-15 |
| 1831307800 | Pediatric Practice, Inc | Pediatrics | 14601 Detroit Ave Ste 395, Lakewood, OH 44107-4209 | 2007-05-21 |
| 1710199955 | Bryson V Ahlers | Pediatrics | 6212 75th, Lakewood, WA 98499 | 2007-05-03 |
| 1992847024 | Mukti Rana | Pediatrics | 101 Prospect St Ste 112, Lakewood, NJ 08701-5004 | 2007-02-13 |
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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.