Provider Demographics
NPI:1306912662
Name:S C PEDIATRIC ASSOCIATES, INC
Entity type:Organization
Organization Name:S C PEDIATRIC ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHANER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-478-0038
Mailing Address - Street 1:3825 LINCOLN WAY E
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-3722
Mailing Address - Country:US
Mailing Address - Phone:330-478-0038
Mailing Address - Fax:330-477-1383
Practice Address - Street 1:3825 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-3722
Practice Address - Country:US
Practice Address - Phone:330-478-0038
Practice Address - Fax:330-477-1383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty