Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Practice, Inc

Organization Pediatrics Physician · NPI 1831307800

Pediatric Practice, Inc is a Pediatrics Physician in Lakewood, Ohio. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14701 Detroit Ave Ste 730
Lakewood, OH 44107-4182
Phone: (216) 529-7780
Fax: (216) 529-7432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36855 American Way Ste B, Avon, OH 44011-4054 — (440) 934-4030

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1831307800
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Govin Baskar — President · (216) 529-7780
NPI enumeratedMay 21, 2007
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address14701 Detroit Ave Ste 730, Lakewood, OH 44107-4182

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