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Clown Pediatrics

NPI 1669674461ActiveOrganization· Specialist· Greenwood, IN

Specialist in Greenwood, Indiana, registered in NPPES in June 2007. The authorized official on file is Jeremy Wade Roscoe, M.D., Physician.

Overview

NPI1669674461
StatusActive
Entity typeOrganization
NPI issuedJun 4, 2007
Last updated in NPPESMay 9, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X1057187 AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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