Provider Demographics
NPI:1396231098
Name:NORTHWEST PEDIATRICS LLC.
Entity Type:Organization
Organization Name:NORTHWEST PEDIATRICS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:RHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:614-339-0153
Mailing Address - Street 1:7275 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9021
Mailing Address - Country:US
Mailing Address - Phone:614-766-6321
Mailing Address - Fax:614-339-0153
Practice Address - Street 1:7275 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016
Practice Address - Country:US
Practice Address - Phone:614-766-6321
Practice Address - Fax:614-339-0153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty