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PEDIATRIC ASSOCIATES OF MT. CARMEL INC. NPI 1912110990


NPI Information

NPI: 1912110990
Provider Name: PEDIATRIC ASSOCIATES OF MT. CARMEL, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D0347939

Address:
4371 FERGUSON DRIVE
CINCINNATI, OH
ZIP 45245
Phone: (513) 752-3650
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PEDIATRIC ASSOCIATES OF MT. CARMEL, INC. is a primary care clinic center in Cincinnati, OH. PEDIATRIC ASSOCIATES OF MT. CARMEL, INC. NPI is 1912110990. The provider is registered as an organization entity type.

The provider's business location address is:

4371 FERGUSON DRIVE
CINCINNATI, OH
ZIP 45245
Phone: (513) 752-3650
Fax: (513) 752-3387

The provider's authorized official is Michael Ann Chamberlin .
The authorized official title is President and has the following contact phone number (513) 752-3650.

The CLIA number assigned to this NPI record is 36D0347939 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 12/10/2013.


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
1261QP2300XClinic/CenterPrimary CareYes

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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