Organization
NORTHSIDE PEDIATRIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DOWNEY (PRACTICE MANAGER)
(812) 379-9524
Entity
Organization
Contact information
Practice address
4225 VICKERS DR, COLUMBUS, IN 47203-4649
(812) 379-9524
(812) 376-6383
Mailing address
4225 VICKERS DR, COLUMBUS, IN 47203-4649
(812) 379-9524
(812) 376-6383
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01038736
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10083360A
—
IN
Enumeration date
04/12/2007
Last updated
09/09/2025
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