OrganizationActive
Childrens Community Care
NPI 1558546366 · Pediatrics Physician · Greenville, PA
Provider details
- NPI number
- 1558546366
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Martinez, Executive Administrator III(724) 933-1100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
90 Shenango St Ste 12
Greenville, PA 16125-2060
Phone: (724) 589-0290
Fax: (724) 589-0293
Street-level locationGet directions
Mailing address
103 Bradford Rd Ste 200
Wexford, PA 15090-6910
Other names (DBA / former)
- Doing business as
- Childrens Community Pediatrics
- Doing business as
- Childrens Community Pediatrics
Registry dates
- Enumerated
- 2007-12-31
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.