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WEST SIDE ADULT AND PEDIATRIC CARE LLC NPI 1720107097


NPI Information

NPI: 1720107097
Provider Name: WEST SIDE ADULT AND PEDIATRIC CARE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0347502

Address:
7225 COLERAIN AVE
SUITE 103
CINCINNATI, OH
ZIP 45239
Phone: (513) 681-3500
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WEST SIDE ADULT AND PEDIATRIC CARE LLC is a family medicine in Cincinnati, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WEST SIDE ADULT AND PEDIATRIC CARE LLC NPI is 1720107097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7225 COLERAIN AVE
SUITE 103
CINCINNATI, OH
ZIP 45239-329
Phone: (513) 681-3500
Fax: (513) 681-1391

The provider's authorized official is Kylie Boggs .
The authorized official title is Office Manager and has the following contact phone number (513) 681-3500.

The CLIA number assigned to this NPI record is 36D0347502 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 10/11/2023.


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
1208000000XPediatricsOHIONo
2207Q00000XFamily MedicineOHIOYes

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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