OrganizationActive
Ideal Pediatric and Adolescent Care
NPI 1154879096 · Clinic/Center · Lewisburg, PA
Ideal Pediatric and Adolescent Care is a Clinic/Center organization in Lewisburg, PA (NPI 1154879096).
Provider details
- NPI number
- 1154879096
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Beth O'Hara, President(570) 551-0300
- License
- OS008495L (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
121 Jpm Rd
Lewisburg, PA 17837-9313
Phone: (570) 551-0300
Street-level locationGet directions
Mailing address
121 Jpm Rd
Lewisburg, PA 17837-9313
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2016-09-21
Frequently asked questions
- What is Ideal Pediatric and Adolescent Care's NPI number?
- Ideal Pediatric and Adolescent Care's National Provider Identifier (NPI) is 1154879096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ideal Pediatric and Adolescent Care?
- Ideal Pediatric and Adolescent Care is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ideal Pediatric and Adolescent Care located?
- Ideal Pediatric and Adolescent Care's practice location on file with NPPES is 121 Jpm Rd, Lewisburg, PA 17837-9313.
- What is Ideal Pediatric and Adolescent Care's phone number?
- The practice phone number listed in the NPPES registry for Ideal Pediatric and Adolescent Care is (570) 551-0300.
- Who is the authorized official for Ideal Pediatric and Adolescent Care?
- The authorized official listed on Ideal Pediatric and Adolescent Care's NPPES record is Mary Beth O'Hara, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ideal Pediatric and Adolescent Care's NPI active?
- Yes — Ideal Pediatric and Adolescent Care's NPI (1154879096) is active in the NPPES registry as of the last update on 2016-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.