Provider Demographics
NPI:1487864658
Name:WEST END PEDIATRICS COMPANY
Entity Type:Organization
Organization Name:WEST END PEDIATRICS COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-228-3232
Mailing Address - Street 1:14701 DETROIT AVE STE 522
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4109
Mailing Address - Country:US
Mailing Address - Phone:216-228-3232
Mailing Address - Fax:216-228-7507
Practice Address - Street 1:14701 DETROIT AVE STE 522
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4109
Practice Address - Country:US
Practice Address - Phone:216-228-3232
Practice Address - Fax:216-228-7507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-1899208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2146378Medicaid
OH2146378Medicaid