Impact Pediatrics, Llc

LBN: Impact Pediatrics, Llc
Impact Pediatrics, Llc is an health care organization with primary practice located at 1910 Bethel Rd , Columbus OH 43220-1864. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Impact Pediatrics, Llc can be contacted via phone (614) 824-2546, or through Hackshaw, Dawn via phone (614) 459-6510.

Contact Information

Primary practice address
1910 Bethel Rd Columbus OH 43220-1864
Phone: (614) 824-2546
Fax: (614) 824-2549
Website:
Map and Directions
Authorized official contact:
Name: Hackshaw, Dawn Doctor of Medicine (MD)
Phone: (614) 459-6510

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1578842720
LBN Legal business name Impact Pediatrics, Llc
DBA Doing business as
Authorized official Hackshaw, Dawn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2011
Last updated Jun 15th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578842720 NPPES
Ohio MEDICAID 0051229

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