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MONTGOMERY PEDIATRICS INCORPORATED NPI 1194917062


NPI Information

NPI: 1194917062
Provider Name: MONTGOMERY PEDIATRICS INCORPORATED
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 36D0347821

Address:
10700 MONTGOMERY RD
SUITE 100
CINCINNATI, OH
ZIP 45242
Phone: (513) 984-5552
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MONTGOMERY PEDIATRICS INCORPORATED is a preferred provider organization in Cincinnati, OH. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. MONTGOMERY PEDIATRICS INCORPORATED NPI is 1194917062. The provider is registered as an organization entity type.

The provider's business location address is:

10700 MONTGOMERY RD
SUITE 100
CINCINNATI, OH
ZIP 45242-255
Phone: (513) 984-5552
Fax: (513) 984-5554

The provider's authorized official is Jenny Vaughn .
The authorized official title is Office Manager and has the following contact phone number (513) 984-5552.

The CLIA number assigned to this NPI record is 36D0347821 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 8/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization35041085LOHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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