Kiddie West Pediatric Center

LBN: Kiddie West Pediatrics Inc
Kiddie West Pediatric Center is an health care organization with primary practice located at 4766 W Broad St , Columbus OH 43228-1613. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kiddie West Pediatrics Inc can be contacted via phone (614) 851-7337, or through Backes, Carl R via phone (614) 851-7337.

Contact Information

Primary practice address
4766 W Broad St Columbus OH 43228-1613
Fax: (614) 851-0080
Website:
Authorized official contact:
Name: Backes, Carl R Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34-00-2237 Ohio

Profile Details

NPI number 1023087574
LBN Legal business name Kiddie West Pediatrics Inc
DBA Doing business as Kiddie West Pediatric Center
Authorized official Backes, Carl R Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 16th, 2009 - about 17 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 1023087574 NPPES
Ohio MEDICAID 2356954

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