CHILDREN'S HOSPITAL MEDICAL CENTER (NPI# 1386025039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386025039 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL MEDICAL CENTER |
| Other Organization Name | CINCINNATI CHILDREN'S LIBERTY CAMPUS |
| Practice Address |
7777 Yankee Rd Liberty Township OH 45044-3500 |
| Mailing Address |
3333 Burnet Ave Mlc 5021 Cincinnati OH 45229-3026 |
| Practice Telephone | 5138039600 |
| Practice Fax Number | 5136362511 |
| Mailing Telephone | 5136364225 |
| Mailing Fax Number | 5136362511 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | MRS. JODIANNE BROOMALL (SR DIRECTOR BILLING & CODING SERV) |
| Authorized Official Telephone | 5136365047 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HOSPITAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
02-2514850 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1473285 | 05 |
| Other Name | Type Code |
|---|---|
| Cincinnati Children's Liberty Campus | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1306988852 | Children's Hospital Medical Center | Dentist | 3333 Burnet Avenue, Ml 2006, Cincinnati, OH 45229-3039 | 2007-02-13 |
| 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 |
7777 YANKEE RD |
| City | LIBERTY TOWNSHIP |
| State | OH |
| Zip Code | 45044-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144299843 | Shane E Dulemba | Nurse Practitioner | 7777 Yankee Rd, Psychiatry - Liberty Campus Ml 16066, Liberty Township, OH 45044-3500 | 2006-03-15 |
| 1669097184 | Michael Dee Anthony Evans | Surgery | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2020-06-10 |
| 1023649241 | Jennifer Macrae | Nurse Practitioner | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2020-01-27 |
| 1053954701 | Rocio Denise Atarama | Dietitian, Registered | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-10-25 |
| 1407497464 | Shannon R Bough | Specialist/Technologist, Other | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-10-01 |
| 1932750478 | Shelley Rae Shade | Specialist/Technologist, Other | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-09-26 |
| 1003471087 | Melanie Norman Romaine-jongewaard | Speech-Language Pathologist | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-05-06 |
| 1285197491 | Danielle Fohl | Nurse Practitioner | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2019-04-14 |
| 1184029894 | Jodi Melinda Kelley | Nurse Practitioner | 7777 Yankee Rd, Ml 16026, Liberty Township, OH 45044-3500 | 2014-10-24 |
| 1811326952 | Amy Michelle Grosnik | Audiologist | 7777 Yankee Rd, Liberty Township, OH 45044-3500 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335024 | Hux Enterprises | Pharmacy | 641 Hill Rd N Ste C, Pickerington, OH 43147-9346 | 2020-10-30 |
| 1891302626 | Uc Healthcare System | Pharmacy | 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 | 2020-09-25 |
| 1619580966 | Lcrg Bros LLC | Pharmacy | 7584 E Main St, Reynoldsburg, OH 43068-1208 | 2020-08-26 |
| 1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
| 1699397646 | D & G Partners LLC | Pharmacy | 7623 E Main St, Reynoldsburg, OH 43068-1209 | 2020-05-13 |
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1689200461 | Cross Point Pharmacy | Pharmacy | 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 | 2020-03-12 |
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTY TOWNSHIP |
| Zip Code | 45044 |
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.