NPIMap

Organization Active NPI

CHMC Community Health Services Network

Doing business as Cincinnati Children's Anderson Primary Care

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1023637774
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHMC COMMUNITY HEALTH SERVICES NETWORK
Doing business as
Cincinnati Children's Anderson Primary Care
Practice address
7502 State Rd Ste 3350
Cincinnati, OH 45255-2801
Phone
(513) 231-3345
Fax
(513) 231-6739
NPI assigned
Apr 13, 2020
Last updated
Oct 23, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CHMC COMMUNITY HEALTH SERVICES NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Catherine E. Guthrie, MS, CPMSM, CPCS
Title
Director Medical Staff Services
Phone
(513) 636-9691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

7502 State Rd Ste 3350
Cincinnati, OH 45255-2801

Mailing address

3333 Burnet Ave.
ML 5021
Cincinnati, OH 45229-3026
Phone (513) 636-4225

Other names 1

  • Cincinnati Children's Anderson Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200601002946 OH Part B Supplier - Clinic/Group Practice 1355523358 Receives reassigned benefits from 49 practitioners
1 other NPI on this enrollment
Practice locations: Cincinnati, OH; Wilmington, OH; Mason, OH; Loveland, OH; Liberty Township, OH; Centerville, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
CHMC Community Network

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/FmRItZc30RH60LjxwsIxQM4HGo6XcQXK/

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1023637774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE.",
            "address_2": "ML 5021",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4225",
            "fax_number": "513-636-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 STATE RD STE 3350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552801",
            "telephone_number": "513-231-3345",
            "fax_number": "513-231-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHMC COMMUNITY HEALTH SERVICES NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHMC COMMUNITY HEALTH SERVICES NETWORK",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "513-636-9691",
        "authorized_official_credential": "MS, CPMSM, CPCS"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cincinnati Children's Anderson Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.