MEDICARE: PLAIN CITY PEDIATRICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35.093851	OH

General Provider Information

NPI Number	:	1285903880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLAIN CITY PEDIATRICS LLC

Provider Business Mailing Address
First Line	:	5784 BONALY CT
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-9439
Country	:	US
Telephone Number	:	614-570-3598
Fax Number	:

Provider Business Practice Location Address
First Line	:	480 S JEFFERSON AVE STE 400
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-4137
Country	:	US
Telephone Number	:	614-570-3598
Fax Number	:

Authorized Official
Title or Position	:	PEDIATRICIAN
Name	:	DR. ALICIA DANIELLE FENN
Credential	:	MD
Telephone Number	:	614-570-3598

Provider Enumeration Date	:	12/28/2011
Last Update Date	:	12/28/2011

Similar Medicare Providers

1912965674 — ADAMS FAMILY MEDICAL CENTER, INC.
Practice Location Address:

480 S JEFFERSON AVE , SUITE 500
PLAIN CITY, OH
43064-4137

Practice Phone: 614-873-3434
Practice Fax: 614-873-4953

1487603601 — DR. JOHN E. ADAMS II D.O.
Practice Location Address:

480 S JEFFERSON AVE , SUITE 500
PLAIN CITY, OH
43064-4137

Practice Phone: 614-873-3434
Practice Fax: 614-873-4953

1285667444 — CRAFT HOLDINGS LTD
Practice Location Address:

480 S JEFFERSON AVE
PLAIN CITY, OH
43064-4137

Practice Phone: 614-873-0880
Practice Fax: 614-873-0972

1346316361 — DR. ALISHA ANDERSON GRAY D.D.S.
Practice Location Address:

500 S JEFFERSON AVE
PLAIN CITY, OH
43064-4137

Practice Phone: 614-733-0800
Practice Fax:

1093974925 — MR. LONNIE JOE CRAFT RPH
Practice Location Address:

480 S JEFFERSON AVE , STE 200
PLAIN CITY, OH
43064-4137

Practice Phone: 614-873-0880
Practice Fax:

1003145558 — ALISHA A. GRAY, D.D.S. AND CLARE E. TANNEHILL MACAULAY, D.D.S., INC
Practice Location Address:

500 S JEFFERSON AVE
PLAIN CITY, OH
43064-4137

Practice Phone: 614-733-0800
Practice Fax:

Directions to “PLAIN CITY PEDIATRICS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.