Active NPI
Oxford Pediatrics & Adolescents Inc
- Pediatrics Physician
- Brookville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- OXFORD PEDIATRICS & ADOLESCENTS INC
- Practice address
- 10058 Cooley Rd
Brookville, IN 47012 - Phone
- (765) 647-2681
- Fax
- (765) 647-3047
- NPI assigned
- Oct 4, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ellen Buerk, MD
- Title
- President Owner
- Phone
- (513) 523-2156
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
10058 Cooley Rd
Brookville, IN 47012
Mailing address
5141 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2156
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000009895 | Other | OH | ANTHEM BCBS |
| 000000009895 | Other | IN | ANTHEM BC BS |
National Provider Directory
National Provider Directory- Tax ID family
- Oxford Pediatrics Adolescents Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Oxford, OH
- NPI 1356437867
-
- Pediatrics Physician
- Hamilton, OH
- NPI 1154507747
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Oxford, OH
- NPI 1437245644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013003524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 MORNING SUN RD",
"city": "OXFORD",
"state": "OH",
"postal_code": "45056",
"telephone_number": "513-523-2156",
"fax_number": "513-523-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10058 COOLEY RD",
"city": "BROOKVILLE",
"state": "IN",
"postal_code": "47012",
"telephone_number": "765-647-2681",
"fax_number": "765-647-3047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OXFORD PEDIATRICS & ADOLESCENTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUERK",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "513-523-2156",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000009895",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000009895",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.