Provider Demographics
NPI:1841679685
Name:ZERO PEDIATRICS PLLC
Entity type:Organization
Organization Name:ZERO PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ZERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BA, BSN
Authorized Official - Phone:570-871-4445
Mailing Address - Street 1:1000 MEADE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-3197
Mailing Address - Country:US
Mailing Address - Phone:570-871-4445
Mailing Address - Fax:570-871-4532
Practice Address - Street 1:1000 MEADE ST STE 204
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-3197
Practice Address - Country:US
Practice Address - Phone:570-871-4445
Practice Address - Fax:570-871-4532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007972L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015310900012Medicaid