CHMC COMMUNITY HEALTH SERVICES NETWORK (NPI# 1023637774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023637774 |
| Entity Type | Organization |
| Organization Name | CHMC COMMUNITY HEALTH SERVICES NETWORK |
| Other Organization Name | CINCINNATI CHILDREN'S ANDERSON PRIMARY CARE |
| Practice Address |
7502 State Rd Ste 3350 Cincinnati OH 45255-2801 |
| Mailing Address |
3333 Burnet Ave. Ml 5021 Cincinnati OH 45229-3026 |
| Practice Telephone | 5132313345 |
| Practice Fax Number | 5132316739 |
| Mailing Telephone | 5136364225 |
| Mailing Fax Number | 5136362511 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | CATHERINE E. GUTHRIE (DIRECTOR MEDICAL STAFF SERVICES) |
| Authorized Official Telephone | 5136369691 |
| Authorized Official Credential | MS, CPMSM, CPCS |
| Is Organization Subpart | Y |
| Parent Organization Name | CHMC COMMUNITY HEALTH SERVICES NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHMC CHSN Anderson Primary Care | Doing Business As Name - Organization |
| CHMC Community Health Services Network (Ohio) | Doing Business As Name - Organization |
| Cincinnati Children's Anderson Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801022 | Chmc Community Health Services Network | Pediatrics | 9600 Children Dr Bldg D, Mason, OH 45040-6791 | 2020-11-04 |
| 1568069144 | Chmc Community Health Services Network | Pediatrics | 10032 Demia Way, Florence, KY 41042-4734 | 2020-10-06 |
| 1053464305 | Chmc Community Health Services Network | Pediatrics | 124 State Road 46 West, Batesville, IN 47006-1487 | 2007-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CHMC COMMUNITY HEALTH SERVICES NETWORK, INC. | 3333 Burnet Ave., Cincinnati, OH 45229 |
| Street Address |
7502 STATE RD STE 3350 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45255-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609394907 | Maureen Elizabeth Rooney | Family Medicine | 7502 State Rd Ste 3350, Cincinnati, OH 45255-2801 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710408323 | Teresa Anne Hollenkamp | Speech-Language Pathologist | 8595 Beechmont Ave Ste 204, Cincinnati, OH 45255 | 2017-07-05 |
| 1780130997 | Amanda Friedman | Counselor | 4030 Mt. Carmel Tobasco Road, Suite #209, Cincinnati, OH 45255 | 2016-08-28 |
| 1255789228 | Daniel Nisi | Internal Medicine | 2139 Auburn Ave., Cincinnati, OH 45255 | 2016-05-31 |
| 1942655378 | Courtney Head | Hearing Instrument Specialist | 7689 Beechmont Ave, Cincinnati, OH 45255 | 2016-05-04 |
| 1164846366 | Joan Rivard | Speech-Language Pathologist | 7550 Forest Ave, Cincinnati, OH 45255 | 2014-02-07 |
| 1720401243 | Nathan Dumford | Psychologist | 7550 Forest Avenue, Cincinnati, OH 45255 | 2014-02-04 |
| 1548690431 | Melissa Donohoo | Registered Nurse | 7578 State Road, Cincinnati, OH 45255 | 2013-11-14 |
| 1376979542 | Forestville Dental, Michael D. Farmer, D.m.d., Inc. | Dentist | 7535 State Road, Unite M, Cincinnati, OH 45255 | 2013-09-19 |
| 1659665099 | Maggy's Home Health Care | Home Health | 4030 Mt. Carmal Tobasco Rd Ste307b, Cincinnati, OH 45255 | 2011-06-02 |
| 1306095716 | Jeremy Michael Ernstes | Optometrist | 7426 Beechmont Avenue Suite 209, Dr. David S. Tabeling & Associates, Cincinnati, OH 45255 | 2008-09-10 |
| Find all providers in zip 45255 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205366994 | Desiree Monique Jones-rubin | Pediatrics | 3333 Burnet Ave # Mlc3008, Cincinnati, OH 45229-3026 | 2017-06-14 |
| 1316478308 | Amanda Warniment | Pediatrics | 3333 Burnet Ave # Ml2008, Cincinnati, OH 45229-3026 | 2017-03-22 |
| 1295184075 | Ian Frederick Slack | Pediatrics | 3333 Burnet Ave # Mlc2000, Cincinnati, OH 45229-3026 | 2016-06-13 |
| 1336595917 | Abbie Rose Goodman | Pediatrics | 3333 Burnet Ave Ml 9016, Cincinnati, OH 45229-3026 | 2016-05-12 |
| 1467807321 | Bijan Ketabchi | Pediatrics | 3333 Burnet Ave. Ml2008, Cincinnati, OH 45229-3026 | 2016-04-28 |
| 1639523681 | Matthew Taylor Coghill | Pediatrics | 3333 Burmet Ave, Mlc 2003, Cincinnati, OH 45229-3026 | 2016-04-15 |
| 1124481635 | Kimberley Nicole Sikora | Pediatrics | 3430 Burnet Ave Ofc Bldg2nd, Cincinnati, OH 45229-2833 | 2016-04-01 |
| 1609238773 | Courtney Marie Sumner | Pediatrics | 3430 Burnet Ave, Medical Office Building 2nd Floor, Ml 5026, Cincinnati, OH 45229-3026 | 2016-03-28 |
| 1134504210 | Barbara Kenney | Pediatrics | 1022 Legendwood Ln, Cincinnati, OH 45245-3077 | 2015-07-30 |
| 1205216223 | John Joseph Erickson | Pediatrics | 3333 Burnet Ave Fl 11580af, Cincinnati, OH 45229-3026 | 2015-06-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45255 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.