Provider Demographics
NPI:1639855968
Name:DONLEY PEDIATRICS LLC
Entity Type:Organization
Organization Name:DONLEY PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-812-2642
Mailing Address - Street 1:8664 TIPPECANOE RD
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-8106
Mailing Address - Country:US
Mailing Address - Phone:440-812-2642
Mailing Address - Fax:330-663-7514
Practice Address - Street 1:850 E WESTERN RESERVE RD STE 3A
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-4383
Practice Address - Country:US
Practice Address - Phone:330-531-8006
Practice Address - Fax:330-663-7514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty