# MID-OHIO PEDIATRICS AND ADOLESCENTS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDOHIO PEDIATRICS & ADOLESCENTS, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720248891
- **Legal business name:** MIDOHIO PEDIATRICS & ADOLESCENTS, INC
- **Authorized official:** JACKIE SCOTT (PRACTICE MANAGER)
- **Authorized official phone:** (614) 899-0000

## Contact information

- **Practice address:** 595 COPELAND MILL RD, SUITE 2A, WESTERVILLE, OH 43081-8908
- **Practice address phone:** (614) 899-0000
- **Practice address fax:** (614) 794-7597
- **Mailing address:** 595 COPELAND MILL RD, SUITE 2A, WESTERVILLE, OH 43081-8908
- **Mailing address phone:** (614) 899-0000
- **Mailing address fax:** (614) 794-7597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 08/11/2014