Organization Active NPI

Oxford Pediatrics & Adolescents Inc

  • Pediatrics Physician
  • Brookville, IN
National Provider Identifier
1013003524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ellen Buerk, MDNPI 1437245644
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000009895OtherOHANTHEM BCBS
000000009895OtherINANTHEM BC BS

National Provider Directory

National Provider Directory
Tax ID family
Oxford Pediatrics Adolescents Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.