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Premium Pediatrics

Premium Pediatrics is a healthcare organization registered as Pediatrics Physician in Niles, OH, holding Type 2 (organization) NPI 1497730550 since 2005. The authorized official on file is Carrie Oklota-Fadell, President.

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NPI 1497730550
Entity type Organization (Type 2)
Legal business name Premium Pediatrics
Practice address 918 YOUNGSTOWN WARREN RD, SUITE C, Niles, OH, 44446
Phone 3306523100
Fax 3306521231
Enumeration date 2005-12-13
Last updated in NPPES 2020-08-22

Authorized official

Name Carrie Oklota-Fadell
Title President
Phone 3306523100

Taxonomy & classification

Taxonomy code Specialty Primary License State
208000000X Pediatrics Physician Primary

Other identifiers

Identifier Type State Issuer
2600760 Medicaid OH
Copy-ready billing details
Provider: Premium Pediatrics
NPI: 1497730550
Taxonomy: 208000000X (Pediatrics Physician)
Address: 918 YOUNGSTOWN WARREN RD, SUITE C, Niles, OH, 44446

Providers at this address

NPI Name Type Specialty Location
1346223096 Teresa Yocum Individual Pediatrics Physician Niles, OH
1518940261 Melissa Valantine Ferrara Individual Pediatrics Physician Niles, OH
1720387426 Jane Rowlands Individual Speech-Language Pathologist Niles, OH
1144519448 Geradine Crush Individual Physical Therapist Niles, OH
1538449723 Lisa Semenovich Individual Speech-Language Pathologist Niles, OH
1508146556 Kellie Allen Individual Physical Rehabilitation Occupational Therapist Niles, OH
1942622576 Rory Buie Individual Physical Therapist Niles, OH
1093137622 Lisa Pellegrini Individual Speech-Language Pathologist Niles, OH

Verify this record

Cross-check NPI 1497730550 against the authoritative CMS record: view Premium Pediatrics on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Premium Pediatrics?
Premium Pediatrics is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.