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

Southside Internal Medicine-Pediatrics LLC

Organization Internal Medicine Physician · NPI 1184729071

Southside Internal Medicine-Pediatrics LLC is an Internal Medicine Physician in Oil City, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

204 Central Ave
Oil City, PA 16301-2738
Phone: (814) 677-4045
Fax: (814) 676-2364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD072420L (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MD072420L (PA)

Record details

NPI number1184729071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Anderson — Owner · (814) 677-4045
NPI enumeratedSeptember 14, 2006
Last updated in NPPESNovember 19, 2009
Mailing address204 Central Ave, Oil City, PA 16301-2738

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