CHILDREN'S HOSPITAL MEDICAL CENTER (NPI# 1306988852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306988852 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL MEDICAL CENTER |
| Other Organization Name | CHILDREN'S HOSPITAL MEDICAL CENTER - DIVISION OF PEDIATRIC DENTISTRY |
| Practice Address |
3333 Burnet Avenue Ml 2006 Cincinnati OH 45229-3039 |
| Mailing Address |
3333 Burnet Avenue Ml 5021 Cincinnati OH 45229-3026 |
| Practice Telephone | 5136364225 |
| Practice Fax Number | 5136362511 |
| Mailing Telephone | 5136364225 |
| Mailing Fax Number | 5136362511 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-10-26 |
| 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 | CHILDREN'S HOSPITAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100012670A | 05 | |
| OH | 0282715 | 05 | |
| KY | 61943189 | 05 | |
| PA | 001065780-0005 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Hospital Medical Center - Division of Pediatric Dentistry | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386025039 | Children's Hospital Medical Center | Pharmacy | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2015-06-17 |
| 1902168800 | Children's Hospital Medical Center | Community/Behavioral Health | 5642 Hamilton Ave, Cincinnati, OH 45224-3114 | 2012-06-15 |
| 1528255577 | Children's Hospital Medical Center | Clinic/Center | 3333 Burnet Ave, Cincinnati, OH 45229-3039 | 2007-10-03 |
| 1609915784 | Children's Hospital Medical Center | Clinical Neuropsychologist | 3333 Burnet Avenue, Cincinnati, OH 45229-3039 | 2007-02-06 |
| 1366580391 | Children's Hospital Medical Center | Durable Medical Equipment & Medical Supplies | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| 1508904400 | Children's Hospital Medical Center | Home Health | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| 1154469930 | Children's Hospital Medical Center | Hospice Care, Community Based | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| 1629116645 | Children's Hospital Medical Center | Pharmacy | 660 Lincoln Ave, Cincinnati, OH 45206-1100 | 2007-02-02 |
| 1346388378 | Children's Hospital Medical Center | Pharmacy | 3333 Burnet Avenue, Cincinnati, OH 45229-3039 | 2007-02-02 |
| 1548212988 | Children's Hospital Medical Center | Clinic/Center | 3333 Burnet Ave, Cincinnati, OH 45229 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CHILDREN'S HOSPITAL MEDICAL CENTER | Unknown, Boston, MA 02105 |
| Street Address |
3333 BURNET AVENUE ML 2006 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45229-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241403 | Linn M Mangano | Ophthalmology | 3333 Burnet Avenue, Ml 4008, Cincinnati, OH 45229-3026 | 2005-08-10 |
| 1326669904 | Krishawnda Janelle Allen | Nurse Practitioner | 3333 Burnet Avenue, Mlc 6015, Cincinnati, OH 45229-3026 | 2020-05-05 |
| 1316566656 | Lacey M. Rudick | Nurse Practitioner | 3333 Burnet Avenue, Mlc 3014, Cincinnati, OH 45229-3026 | 2020-04-15 |
| 1407485220 | Timothy Thanh Nguyen | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-04-03 |
| 1457980245 | Katherine Lura Harsh | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-04-03 |
| 1407484660 | Kiran Neha Bandi | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-31 |
| 1275161424 | Manroop Kaur Gill | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-31 |
| 1538797113 | Andrew John Thomas | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-30 |
| 1356979850 | Matthew Alexander Hapstack | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-30 |
| 1073141776 | Madeline Leigh Weber | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
| 1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
| Find all providers in zip 45229 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547811 | Cincy Pediatric Dentistry, LLC | Dentist | 1131 Cryer Ave, Cincinnati, OH 45208 | 2020-01-09 |
| 1932542321 | Daisy Thomas | Dentist | 9200 Montgomery Rd Ste 4b, Cincinnati, OH 45242-7789 | 2013-04-16 |
| 1649556051 | Mariana P Levy Depolack | Dentist | 2706 Observatory Ave, Cincinnati, OH 45208-2108 | 2011-10-30 |
| 1114153343 | Katlin Blomer | Dentist | 3870 Paxton Ave, Suite G, Cincinnati, OH 45209-2366 | 2009-06-02 |
| 1336393180 | Frank H. Mills Jr. | Dentist | 6837 Wooster Pike, Cincinnati, OH 45227 | 2008-11-06 |
| 1033276837 | David Michael Sullivan | Dentist | 5177 N Bend Rd, Cincinnati, OH 45211-1900 | 2007-01-02 |
| 1962561761 | Joel Golub,dds,inc. | Dentist | 9505 Montgomery Rd, Cincinnati, OH 45242-7248 | 2006-12-07 |
| 1285729707 | Ronald D. Rubin | Dentist | 11350 Springfield Pike, Cincinnati, OH 45246-4202 | 2006-10-03 |
| 1396846259 | Anthony A Kamp | Dentist | 3333 Burnet Ave Ml 2006, Cincinnati, OH 45229-3026 | 2006-09-25 |
| 1457391724 | Sarah Lilly Husted | Dentist | 1319 Nagel Rd, Cincinnati, OH 45255-3101 | 2006-06-07 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45229 |
Please comment or provide details below to improve the information on CHILDREN'S HOSPITAL MEDICAL CENTER.
| 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.